Family-Based Intervention with High-Risk Infants and Their Families

A model of family-based intervention for high-risk infants hospitalized in the neonatal intensive care unit and their families is presented. The theoretical underpinnings, principles, and nature of the intervention are described. The adaptation of the model from a clinical–research demonstration project to a clinical consultation service is highlighted, with particular emphasis on the practical application of the model. Domains of the intervention include infant behavior, family organization and functioning, caregiving environment, and home discharge/community resources. Three case illustrations are provided to demonstrate the breadth of the intervention and how it can be individualized based upon the presentation of the infant and family.     

The duration and perceived intensity of sucrose taste

Thirty-two subjects judged the perceived intensity of each of four concentrations of sucrose over 2 min. Stimuli were either sipped and expectorated or flowed over the subject’s extended tongue. Ratio judgments on a line scale and category ratings were made. Sixteen of the subjects had had extensive training in judging the sensory attributes of food products, and another group of 16 subjects were untrained. The perceived intensity of sucrose rose to a peak within 5 or 10 sec, and then declined over 2 min. In both the sip and the flow conditions, the taste disappeared completely for 26 of 32 subjects. Stronger concentrations were perceived as having greater peak intensities and longer lasting taste. The differences between concentrations were enhanced when sipped rather than flowed over the tongue. Judgments of intensity and duration were largely unaffected by the training level of subjects and the use of different rating scales.     

Face-saving and entrapment

Entrapping conflicts are those in which individuals: (1) have made substantial, unrealized investments in pursuit of some goal, and (2) feel compelled to justify these expenditures with continued investments, even if the likelihood of goal attainment is low. It was hypothesized that entrapment (i.e., amount invested) would be influenced by the relative importance individuals attach to the costs and rewards associated with continued investments. Two experiments tested the notion that entrapment would be more pronounced when costs were rendered less important (and/or rewards were made more important). In Experiment 1, half of the subjects were instructed beforehand of the virtues of investing conservatively (Cautious condition), whereas half were informed of the advantages of investing a considerable amount (Risky condition). Investments were more than twice as great in the Risky condition. Moreover, consistent with a face-saving analysis, (1) the instructions had a greater effect on subjects with high rather than low social anxiety, and (2) individuals with high social anxiety who participated in front of a large audience were more influenced by the instructions than were individuals with low social anxiety who participated in front of a small audience. In the second experiment, the importance of costs and rewards were varied in a 2 × 2 design. As predicted, subjects invested significantly more when cost importance was low rather than high. Contrary to expectation, reward importance had no effect. Questionnaire data from this study also suggested that entrapment was at least partially mediated by the participants' concern over the way they thought they would be evaluated. Theoretical implications are discussed.     

Planning Disaster Response Services: The Role of a Multi-Agency Steering Group

The tradition in UK emergency planning has been for responses to be taken at a local level. Local authorities prepare plans for dealing with any eventualities arising from a major incident. Many local-authority disaster plans have, however, lacked adequate provision for psychological services. Previous disaster responses are examined, and planning deficits identified. One of the factors considered important is active involvement of those concerned rather than the imposition of a plan designed by others. The stages necessary to develop an effective community mental health intervention are elaborated. Psychological input to future plans at both national and local levels is examined. The central requirement identified is for a Multi-Agency Steering Group, whose members have specified roles, to co-ordinate all aspects of the disaster response and support services.     

A clinical interview for parents of high-risk infants: Concept and applications

The birth and hospitalization of a preterm infant are stressful and emotionally demanding experiences for parents. The Clinical Interview for Parents of High-Risk Infants (CLIP) is a semistruc tured clinical interview that may be used as a one-time assessment or as a cornerstone for ongoing psychosocial work with parents. The interview assesses early parental adaptation and alerts the clinician to areas of concern as identified by the parents. The interview enables parents to consolidate emotionally their experiences relative to the infant's high-risk status. The CLIP has utility both for planning psychosocial care in the intensive care nursery, and for discharge preparation. The rationale underlying the design of the CLIP is presented, the interview is described, and clinical applications are discussed.     

Life Stories: Integrating Quantitative and Qualitative Approaches

Motivation and Emotion -     

Reminiscing and recounting in the preschool years

Talk about past events can be classified as either reminiscing (discussing shared experiences) or recounting (discussing unshared experiences). Reminiscing may have more of a social memory function whereas recounting may also be informational. This research focused on the form of mother–child reminiscing and recounting during the preschool years. Twenty 40‐month‐old and 20 58‐month‐old children reminisced and recounted past events with their mothers. Results showed that mothers who provided more memory information during reminiscing and requested more memory information during recounting had children who reported more unique information about the events. Regardless of maternal conversational style, however, children reported more unique memory information during recounting than reminiscing. We discuss these results in terms of the importance of both forms of remembering for autobiographical memory development. Copyright © 2000 John Wiley & Sons, Ltd.     

Influence of attended repetition trials on negative priming in younger and older adults

A lengthened response time when a distractor becomes a target, called negative priming, is an undisputed phenomenon in selective attention, yet just what the underlying mechanism responsible for negative priming is has not been resolved. In this study, the proportion of attended repetition trials was manipulated in order to test the predictions of three theories that have been proposed for explaining spatial negative priming: distractor suppression (e.g., Tipper, 1985), episodic memory retrieval (e.g., Neill, Valdes, &; Terry, 1995), and novelty bias (e.g., Milliken, Tipper, Houghton, &; Lupiáñez, 2000). The results supported the proposal that a novelty bias, which is flexible and can be overridden, is the primary mechanism responsible for priming in spatial tasks. Memory retrieval obscured the novelty bias for target processing, was more selective in older adults, and did not affect distractor processing. Novelty bias and distractor suppression may share the same inhibitory attentional mechanism.     

Navigating Social Class Roles in Community Research

This paper describes the first author's attempt to collect data in a homeless shelter without attending to her role in the social class hierarchy of the organization. The author's egalitarian approach towards the homeless clients, and her lack of involvement in "staff-only" activities, transgress the social class norms within the organizational structure. While the author is successful in gaining the trust of the homeless clients, her approach alienates shelter staff, especially those in the higher echelons of the social hierarchy. The concepts of classism, world views, and Social Identity Theory, are utilized to discuss the dilemma faced by researchers who want to challenge, or work outside, a setting's status quo.