Research & clinical exchange

Abstract

Question: Family therapists are often called upon to do consultations to schools about children having social and educational difficulties. In what ways is the family therapist's role different when he or she is called in to consult as an “outsider’ to the school system about a particular child whom he or she does not know, compared to being called upon by the school for advice about a child who is already being seen in treatment by that therapist?     

Selective Processing of Threatening Words in Anxiety: The Role of Awareness

In three experiments, high and low trait-anxious individuals were required to classify a centrally located number as odd or even while ignoring spatially separate threat-related or neutral words. It was found that high anxious subjects showed a selective bias to process threatening stimuli when the stimuli were pattern masked after a brief exposure (14msec). However, this automatic processing bias was apparent only under certain conditions: distractors were within focal attention; masked and unmasked distractors were randomly intermixed; or masked trials were presented after unmasked trials. These results suggest that automatic processing biases in high traitanxious individuals are influenced by contextual factors. There was also a suggestion of a qualitative difference in attentional bias between conscious (unmasked) and nonconscious (masked) states, providing evidence for perception without awareness. The theoretical implications of these results are discussed.     

Information Seeking and Avoiding in Health Contexts

Information management is an important component of coping with illness and illness‐related uncertainty. Normative theory and research on information seeking and avoiding in health contexts can help explain why some information management activities are more adaptive than others. Challenges and dilemmas of information management include relational demands (e.g., the need to coordinate the behaviors and goals of the participants) and contextual features (e.g., cross‐cultural considerations or channels available for information seeking and providing). Issues that need to be addressed in a normative approach include (a) how information management goals can be accomplished while still accounting for other goals (e.g., identity management or relational maintenance), (b) what roles interpreters can play to facilitate effective cross‐cultural information exchange (e.g., as cultural informants), and (c) how information seekers can best manage conflicting or overwhelming information when confronted with messages from multiple channels.     

Standing between two worlds in Harlem: A developmental psychopathology perspective of perinatally acquired human immunodeficiency virus and adolescence

Perinatal HIV infection in the US continues to evolve from a fatal pediatric illness to a chronic medical condition of childhood and adolescence. Although navigating this period is influenced by multi-leveled deprivations commonly experienced by low-income minority families, HIV alters the timing and experience of developmental milestones for many adolescents with perinatal HIV. This selective review of the growing developmental psychopathology literature and the authors' clinical work at a pediatric HIV program in Harlem, NY provide an overview of how developmental psychopathology offers an integrative framework that elucidates how autonomy, peer relationships, and self-concept evolve among 13–21 year old adolescents. This paper highlights the importance of considering influences of both perinatal HIV and the culture of poverty on adolescent development, and of adopting multilevel interventions and research to address how interactions among biologic, environmental, and HIV-related stressors (serostatus disclosure, medical treatment adherence, illness stigma) influence the development of adolescents with perinatal HIV.     

Children remember early childhood: long‐term recall across the offset of childhood amnesia

Young children's verbal recall for personally experienced events was examined over extended time periods across the traditional boundary of childhood amnesia. Forty children, aged 5½, discussed with an experimenter personal experiences that had taken place when they were as young as 1½. At 5½ children had not yet forgotten at least some events from before age 3½, the average offset of childhood amnesia. There was a qualitative shift in children's recall for events that occurred before age 2; for events that happened before age 2, only around half of children's recall was accurate. For events that occurred after this age, over 75% of children's recall was accurate. Complete forgetting of very early childhood has not yet occurred by age 5½. Copyright © 2007 John Wiley & Sons, Ltd.     

Schizophrenia

ABSTRACT— Theoretical conceptualizations of schizophrenia have undergone significant change in the past century. Through the application of behavioral science methodology, psychologists have played a major role in the pivotal scientific advances that have led us to contemporary models. The field has moved from simplistic conceptualizations of mind–brain distinctions to models that encompass complex gene–environment interactions and neural pathways that mediate the relation between psychosocial events and brain dysfunction.