Adverse caregiving in early life: The trauma and deprivation distinction in young children

Knowledge and understanding about the impact of cumulative adverse experiences on the health and wellbeing of children, adolescents, and adults has rapidly expanded over the past 30 years. Despite the invaluable attention and support this proliferation has drawn to the importance of early childhood experiences, we believe that it is time to move beyond broad indices of risk and toward more specific and individualized understanding of how risk exposures are linked to clinical outcomes in young children. Within infant and early childhood mental health, there is a need for greater specificity in linking adverse caregiving experiences in early life to psychopathology in children. We highlight a framework distinguishing experiences of trauma from experiences of deprivation and use the examples of posttraumatic stress disorder and reactive attachment disorder to demonstrate how greater specificity in our understanding of early adverse caregiving can lead to more accurate and targeted diagnosis and treatment for young children. Both researchers and clinicians benefit from an approach to gain a greater appreciation of the links between specific types of experiences and outcomes in the children that we serve.     

Embodied,Situated, and Co-Constructed: Young Sexual Minority Men’s Experiences of Intersectional Identity and Minority Stress

Intersectionality, minority stress, and social ecological theories have all been important frameworks for understanding mechanisms that create and maintain sexual and gender minority health disparities. In this study, we integrated these frameworks to guide a grounded theory examination of identity-related experiences in specific settings among 33 Black, White, and Latino young sexual minority cisgender men who lived in Chicago. Analyses identified four key categories: Racism Manifests in Context- and Sexual Minority-Specific Ways, Sexual Orientation Can Mean Feeling Safe and Seen or Threatened and Alone, Gender is a Matter of Self-Expression, and Bodies Are Not Always Made to Fit In. Participants reported both identity-based privilege and marginalization as well as unique forms of minority stress at the intersection of specific identities. Across these categories, participants’ experiences of their intersecting identities and associated forms of minority stress were embodied in their physical appearance, situated in specific neighborhoods and contexts, and co-constructed through their interpersonal interactions with others. Further, participants’ narratives provide powerful insights about the nuanced ways in which young sexual minority men understand and negotiate their lived experiences. Findings highlight how experiences of identity and minority stress are both intersectional and located within specific social ecological contexts, which has important implications for research, clinical practice, and advocacy.

     

Working Memory in Pediatric Epilepsy: A Systematic Review and Meta-Analysis

Neuropsychology Review - Working memory is a multicomponent system that is supported by overlapping specialized networks in the brain. Baddeley’s working memory model includes four...     

Development of the infant's hand preference for visually directed reaching: Preliminary report of a longitudinal study

The development of hand preference in infancy was investigated longitudinally by using a visually-directed reaching task. Thirty-two infants, equally divided into groups of familial right- and left-handed boys and girls, were tested every 3 weeks from 24 to 39 weeks of age and once again at 52 weeks. Group trends for the development of hand preference were differentiated by familial handedness and sex of the infant. At all ages, test object position (to the infant's right or left) strongly influenced the hand used for reaching. Marked variability both between and within infants demonstrated an instability of early hand preference, an effect that could be appreciated fully only with a prospective longitudinal design. The results thus suggest that the development of hand preference for reaching is highly variable, discontinuous, and related to the interaction of sex and familial handedness.     

Aggression-consistent, -inconsistent,and -irrelevant priming effects on selective exposure to media violence

Priming with aggressive concepts increases males' attraction to media violence. It was hypothesized that priming with schema-irrelevant concepts would decrease interest relative to the effects of schema-relevant concepts, whether or not the schema-relevant concepts were also schema-consistent. Thirty male undergraduates used lists including aggressive (schema-consistent and schema-relevant), positive or prosocial (schema-inconsistent yet relevant), or entirely neutral (schema-irrelevant) words to write short stories (priming task), then received an opportunity to select videotaped film clips for viewing. Subjects primed by aggressive word lists included more aggression, anger, fear, and violence in their stories than did those in the aggression-inconsistent and aggression-irrelevant conditions, whereas aggression-inconsistent priming yielded more fun, helping, and joy than did other conditions. Aggressively primed subjects expressed more interest in films containing violence and hostility than did neutrally primed subjects, whereas aggression-inconsistent priming did not differ significantly from either aggressive (schema-consistent) or neutral (schema-irrelevant) priming. Findings indicate that the aggressive priming activates aggressive concepts that make violence and hostility more salient to individuals. Because male undergraduates typically express interest in violence, enhanced salience leads to increased interest. © 1992 Wiley-Liss, Inc.     

The Problem with Empirical Examination of the Use of Court-appointed Experts: A Report of Non-findings

This study was designed to examine the use of court-appointed experts as an alternative to privately retained experts in Dallas, Texas. Surprisingly, there has been little empirical study of court-appointed experts. Our findings suggest one reason for the lack of research. We found that court-appointed experts are used so infrequently that it makes empirical study difficult to conduct. We discuss the implications on this problem for future research.     

Punitive legal approaches to the problem of prenatal drug exposure

Legislatures and courts have responded prematurely to the problem of prenatal drug exposure through a variety of criminal and civil legal sanctions to deter drug use and to protect fetal health. A review of the case law demonstrates that significant statutory and constitutional difficulties limit the effectiveness of these sanctions and ultimately inhibit their applicability. These constraints require that any governmental intervention through the courts be based upon individual judicial findings of imminent harm to the child and maternal unfitness in neglect proceedings.     

A Phenomenological Study on the Experience of Syrian Asylum-Seekers and Refugees in the United States

Violence in Syria has displaced an unprecedented number of people from their homes. While couple/family therapy (C/MFT) scholars have explored migration experiences, particularly among refugees, there is still limited research using a bioecological framework. This exploratory study examined the experiences of Syrian asylum-seekers and refugees living in the United States using a qualitative phenomenological approach. Twelve Syrians (n = 8 men, n = 4 women) between 20 and 52 years of age (M = 35.8, SD = 10.7) were interviewed about their experiences across three stages of resettlement: (1) pre-resettlement, (2) resettlement/migration, and (3) post-resettlement. Findings suggest that the effects of conflict-induced displacement and resettlement permeate across multiple ecologies. These range from the individual and his or her interpersonal relationships to their larger community and society. C/MFTs should account for contextual factors while becoming familiar with the sociopolitical impact of displacement and resettlement in their clinical work with this population.     

Parents’ Experiences of Their Child’s Disclosure of Child Sexual Abuse

A child’s disclosure of sexual victimization is a difficult experience for parents and has been associated with traumatization, disbelief, denial, self-blame, and clinical difficulties. To date, most studies on parents’ responses have been quantitative assessments of the psychological impact of disclosure on parents. A paucity of research has qualitatively explored mothers’ experiences of their child’s disclosure of child sexual abuse (CSA) and fathers’ experiences have been even further neglected. The current study seeks to characterize parents’ experiences of their child’s disclosure of CSA and to uncover the process-oriented nature of parental responses. This qualitative study, using a grounded theory approach to analysis, involved interviews with 10 mothers and four fathers whose children (3–18 years) had experienced sexual abuse. Three themes emerged from the analysis. The first theme—making sense of the abuse in retrospect—captured the process through which parents sought to make sense of their child’s disclosure, focusing on why their child had not disclosed the abuse to them earlier, and how they had noticed something was wrong but misattributed their child’s behavior to other factors. The second theme—negotiating parental identity as protector—reflected how parents’ identity as a protector was challenged, their perception of their world had been forever altered, and they now experienced themselves as hypervigilant and overprotective. The final theme—navigating the services—pertained to parents’ struggle in navigating child protection and police services, and feelings of being isolated and alone. These findings highlight the need for empathy and parental support following child disclosure of sexual victimization.