Facilitating Communication of Ideas and Evidence to Enhance Mental Health Service Quality: Coding the Treatment Services Literature Using the Child and Adolescent Needs and Strengths-Mental Health Assessment Scales

The evidence-base services literature is continually growing, providing the field with rich and important sets of information regarding what works for treating different types of youth and families. Given this burgeoning of information, the PracticeWise Evidence-Based Services (PWEBS) Literature Database has been developed to aid in summarizing and delivering aggregated evidence-based treatment information to providers in the field. Meanwhile, the Child and Adolescent Needs and Strengths-Mental Health (CANS-MH) Scale is a youth mental health assessment tool that was developed by a separate team to assist with treatment planning. In the present study, we developed and tested a system for linking these two related ontological systems so that scientific knowledge can be more widely aggregated and made available to a wider set of audiences for enhanced mental health service delivery. Results revealed the following. First, a construct mapping comparison revealed that the CANS-MH and PWEBS ontologies share a strong core of overlapping content, particularly in the areas of Youth Behavioral/Emotional Needs, Youth Risk Behaviors, and Life Domain Functioning. Second, the CANS-MH areas were able to be used to reliably code the following components of published randomized treatment studies: (a) population sample characteristics (e.g., did the characteristics of the treatment study participant population relate to each CANS-MH area?), and (b) outcome measure targets (e.g., did the treatment study outcome measure target areas relate to each CANS-MH area?). The reliability achieved from this coding process supported the linkage between the CANS-MH areas and the PWEBS Literature Database information. Lastly, high agreement was achieved between an automated translation algorithm and the final ratings from the manual coding of published treatment studies using the CANS-MH scale. The importance of such linkages for the communication of ideas, information, and evidence across differing subfields is discussed, as well as examples of achieving enhanced quality of mental health services by linking system ontologies.     

Parental Empowerment: Construct Validity and Reliability of a Dutch Empowerment Questionnaire (EMPO)

In this study, the construct validity and reliability of the Empowerment questionnaire (EMPO) that was developed in Dutch youth care was examined. The 12-item EMPO focuses on measuring parental empowerment in raising their children. The three components of psychological empowerment (intrapersonal, interactional, and behavioral) form the rationale for the EMPO. Non-clinical (n?=?673) and clinical (n?=?1,212) data were used. Construct validity was tested by the factorial structure, measurement invariance, correlations with other instruments (PSQ-S and SDQ), and empowerment differences between the two groups. Reliability was determined by testing the internal consistency and test-retest reliability. The results show that the factorial validity of the EMPO was sufficient to good, the EMPO was measurement invariant for various subgroups, and the EMPO scales were negatively correlated with parenting stress (PSQ-S) and child behavioral problems scales (SDQ). Furthermore, the clinical group was less empowered, and the correlation between parental empowerment and child behavioral problems was stronger in this group. In addition, both groups of parents had relatively high scores on the interactional component. In the clinical group, however, parental scores on the interactional component were less correlated with scores on the intrapersonal and behavioral components. Finally, reliability analyses showed a largely sufficient to good internal consistency and test-retest reliability. The EMPO seems to be an instrument with sufficient to good construct validity and reliability. Further research is recommended regarding the underlying assumptions, other aspects of validity, representativeness, and the way it should be used as a tool by professionals for supporting parental empowerment.     

Children Exposed to Marital Conflict Exhibit More Disordered Eating Behaviors: Child Emotional Insecurity and Anxiety as Mechanisms of Risk

Disordered eating in children is a major public health concern, as it is precursor to clinical eating disorders and obesity. However, little is known about the potential causes of child disordered eating. The current study examined marital conflict as a predictor of disordered eating in a sample of children aged 5–12 years, from the perspective of emotional security theory. Ninety five children and their parents in the Southeast United States participated in the study. We found that marital conflict was associated with higher levels of restrained eating, emotional eating and external eating behaviors controlling for demographics and parental feeding practices. Further, we examined the possible pathways between marital conflict and child disordered eating and found that marital conflict was related to greater child emotional insecurity about the family, which was associated with greater child anxiety, which were then related to disordered eating. In addition to serving as a secondary pathway linking emotional insecurity to child disordered eating, anxiety also significantly directly mediated the association between marital conflict and all three types of disordered eating: restrained eating, emotional eating and external eating in children. Next we examined if parental feeding practices (food monitoring, food restriction and parental pressure to eat) moderate the relation between marital conflict and child disordered eating. Parental pressure to eat was negatively associated with child disordered eating under higher marital conflict. The current study highlights the importance of marital conflict and child emotional security as precursors of child disordered eating.     

On the temporal dynamics of language-mediated vision and vision-mediated language

Recent converging evidence suggests that language and vision interact immediately in non-trivial ways, although the exact nature of this interaction is still unclear. Not only does linguistic information influence visual perception in real-time, but visual information also influences language comprehension in real-time. For example, in visual search tasks, incremental spoken delivery of the target features (e.g., “Is there a red vertical?”) can increase the efficiency of conjunction search because only one feature is heard at a time. Moreover, in spoken word recognition tasks, the visual presence of an object whose name is similar to the word being spoken (e.g., a candle present when instructed to “pick up the candy”) can alter the process of comprehension. Dense sampling methods, such as eye-tracking and reach-tracking, richly illustrate the nature of this interaction, providing a semi-continuous measure of the temporal dynamics of individual behavioral responses. We review a variety of studies that demonstrate how these methods are particularly promising in further elucidating the dynamic competition that takes place between underlying linguistic and visual representations in multimodal contexts, and we conclude with a discussion of the consequences that these findings have for theories of embodied cognition.     

Relation of depression to perceived social support: results from a randomized adolescent depression prevention trial

Theorists posit that certain behaviors exhibited by depressed individuals (e.g., negative self-statements, dependency, reassurance seeking, inappropriate or premature disclosures, passivity, social withdrawal) reduce social support, yet there have been few experimental tests of this hypothesis. Using data from a randomized depression prevention trial (N = 253) involving adolescents (M age = 15.5, SD = 1.2), we tested whether a cognitive behavioral group intervention that significantly reduced depressive symptoms relative to bibliotherapy and educational brochure control conditions through 2-year follow-up produced improvements in perceived parental and friend social support and whether change in depressive symptoms mediated the effect on change in social support. Cognitive behavioral group participants showed significantly greater increases in perceived friend social support through 1-year follow-up relative to bibliotherapy and brochure controls, but there were no significant effects for perceived parental support. Further, change in depressive symptoms appeared to mediate the effects of the intervention on change in perceived friend support. Results provide experimental support for the theory that depressive symptoms are inversely related to perceived social support, but imply that this effect may be specific to friend vs. parental support for adolescents.     

The Œdipus complex, crystallizer of the debate between psychoanalysis and anthropology

The way that anthropologists understand the Oedipus complex, in particular, is a good example of how they understand psychoanalysis in general. Indeed, it has crystallized a set of reactions marked by ignorance, misunderstanding, distortion and screening out and at the same time has provoked suspicion among anthropologists as to psychoanalysis, according to the preconceptions of the various schools of thought and authors implied, and this from the very first contacts up to nowadays. In what way did the psychoanalysts contribute to this and what representation did they, in turn, elaborate of anthropology? The purpose of this paper is to expose the epistemological and historical conditions of the emergence of this debate, and then to develop it by following chronology up to the 1950s and 1960s, while differentiating three major cultural areas, Great Britain, the USA and France, in order to get a clearer picture. From that point on, we will try to diversify our inquiry and to formulate some interpretative hypotheses. In particular, we think that a traumatic event may have inaugurated and organized the history of the relationship between the two disciplines, producing a situation of acculturation with multiple impacts, if we identify them with two cultures coming into contact: what is at stake here is Totem and Taboo in which Freud carries through the first major psychoanalytical approach of the interpretation of ethnographic facts, that leads him to transplant the universality of the Oedipus complex to the very root of the first social institutions and to pinpoint the presence of unconscious processes in their genesis.     

Second-order properties and three varieties of functionalism

This paper investigates whether there is an acceptable version of Functionalism that avoids commitment to second-order properties. I argue that the answer is “no”. I consider two reductionist versions of Functionalism, and argue that both are compatible with multiple realization as such. There is a more specific type of multiple realization that poses difficulties for these views, however. The only apparent Functionalist solution is to accept second-order properties.     

Measuring dispositional humility: a first approximation

Humility is a psychological construct that has not received much empirical attention until recently. This new emphasis on positive psychology and humility has been both conceptual and empirical. The present study had two objectives: to review the literature briefly to verify the importance of humility and its positive perception by others, and to begin to develop a preliminary measure of humility. Results indicated that humility is held in high regard by others. Two factors emerged from exploratory factor analysis that appear to converge on measuring humility, with acceptable convergent and divergent validity and internal consistency reliability. These results are discussed in terms of the expected relationships among humility and other constructs (e.g., social desirability, narcissism, self-esteem).     

Religiousness,Spirituality, and Psychological Distress in Taiwan

Most of the previous research on religion and mental health has focused solely on Western, predominantly Christian societies. Using a 2004 national survey of 1,881 adults in Taiwan, this study investigates the relationships between multidimensional measures of religiousness/spirituality and psychological distress in an Eastern context. Our findings differ from previous studies in the West, showing that: (1) religious-based supernatural beliefs are associated with more distress; (2) daily prayer is associated with less distress; (3) engaging in secular-based supernatural activities like fortune-telling is related to more distress; and (4) the frequency of religious attendance is unrelated to levels of distress. Broader theoretical and empirical implications of these findings are discussed.