Violence prevention: Program effects on urban preschool and kindergarten children

This study compares the effectiveness of a violence prevention program with young, at-risk children in two settings. Preschool and kindergarten students, residing in Chicago public-housing developments, participated in a 28-session intervention. Knowledge, behavior problems, and social skills were assessed at pretest and posttest, based on child interviews, teacher ratings, and behavioral observations. Findings suggest that both preschool and kindergarten children demonstrated significant gains in knowledge, based on interview scores, and significant decreases in problem behaviors, based on behavioral observations; however, teacher ratings did not change significantly across time. The discrepancy in findings is explored and implications are discussed.     

Examining Predictors Which May Influence Sentencing Outcomes for Individuals Convicted of Offenses against Children: A Brief Report

Numerous studies examine sentencing decisions, yet little attention has been given to sentencing of child maltreatment and, more specifically, on variables that could impact sentencing outcomes for this form of criminality. Using Pennsylvania Sentencing Data for 2006, this research adds to the existing sentencing research by exploring predictors that might influence sentencing decisions for individuals convicted of crimes against children. The findings indicate that offender sex significantly affects the sentencing decision and offender age significantly affects sentencing length. In addition, all offense characteristics significantly influence the sentencing length decision. Implication of these results and directions for future research are discussed.     

The First Man in Her Life: Father Emotional Responsiveness During Adolescence and College Women's Sexual Refusal Behaviors

Few empirical studies have examined how fathers influence daughters’ sexual interactions with male peers. We hypothesized that paternal emotional responsiveness would empower daughters to refuse unwanted sex. Female undergraduates (N = 144) and their fathers completed measures of paternal responsiveness during adolescence; daughters also reported their global self-worth, acceptance of male partner dominance, and sexual refusal behaviors. As expected, paternal responsiveness promoted daughters’ refusals of unwanted sex. Paternal responsiveness predicted daughters’ self-worth, partially explaining daughters’ increased sexual assertiveness. Perceived paternal responsiveness also negatively predicted daughters’ acceptance of male dominance. These results suggest that positive paternal relationships promote daughters’ sexual agency.     

Should Universalism Trump Cultural Relativism in Counseling?

Certain cultural customs and practices are viewed as abhorrent by many people, yet contemporary American counselors rarely criticize any specific culture. In this article, the authors explore why counselors abstain from such criticism. Furthermore, the authors demonstrate that universalism, often regarded as a politically incorrect and an academically archaic philosophy, is manifestly prevalent within the world's religious and political realms, as well as within the counseling profession. The authors assert that universalism should be prevalent within the counseling profession and that it can be integrated with multicultural principles. Finally, the authors suggest a procedure for identifying universal principles and practices.     

To be or not to be: an exploration of ethnic identity development in context

This qualitative study focused on the intersection of personal and ethnic identities among forty African American, Puerto Rican, Dominican, and Chinese American high school students. The patterns in content indicated that for the Puerto Ricans, the intersection of their personal and social identities was a series of accommodations to a positive peer climate and a resistance to being Dominican. For the other ethnic groups, the intersection of their personal and social identities consisted of a process of resistance and accommodation to negative stereotypes projected on them by their peers and, for African Americans, themselves.     

Unilateral Stability and Visual Feedback Body Control Improves After Three-Month Resistance Training in Overweight Individuals

The authors evaluated the effect of 3 months of resistance and aerobic training (3 sessions/week) on body balance in a group of 25 overweight and obese individuals. Prior to and after the training, they performed static and task-oriented balance tests under various conditions. Mean center of pressure (CoP) velocity and mean trace length of the CoP in the y-axis registered during a one-legged stance significantly decreased after the resistance training (19.1%, p = .024; 29.3%, p = .009). Mean trace length of the CoP in the y-axis decreased significantly also during a bipedal stance on a foam surface with eyes open and closed (10.9%, p = .040; 18.2%, p = .027). In addition, mean CoP distance and mean squared CoP distance in the anteroposterior direction during a visually guided center of mass (CoM) tracking task significantly improved (14.7%, p = .033; 28.2%, p = .016). However, only mean trace length of the CoP in the y-axis during a bipedal stance on a foam surface with eyes open and closed significantly decreased after the aerobic training (10.3%, p = .047; 16.5%, p = .029). It may be concluded that resistance training is more efficient for the improvement of the anteroposterior unilateral stability and the accuracy of the regulation of the CoM anteroposterior position than aerobic training in overweight and obese individuals.     

Influence of Different Sitting Positions on Healthy Infants' Reaching Movements

The authors analyze the influence of different sitting positions (ring and flexion) on the reaching performance (spatiotemporal variables) of full-term infants 6 and 7 months old. In addition, they correlated level of trunk control, measured by the Segmental Assessment of Trunk Control, with performance during reaching. The different sitting positions only influenced the reaching movements of 6-month-old infants, who showed the best performance in the ring position. However, this influence was observed only for the trunk displacement, deceleration time, movement units, straightness index and mean velocity. In contrast, there was no influence of positions on 7-month-old infants’ reaching performance. Regarding the correlations, it was observed that infants with more level of trunk control showed a better performance when reaching, regardless of position and the age assessed.     

Connections between Family Centered Care and Medical Homes of Children with Neurodevelopmental Disabilities: Experiences of Diverse Families

Cultural issues tied to race/ethnicity are important aspects in delivering medical home services to children with neurodevelopmental disabilities and their families. To better understand family satisfaction with family centered care (FCC) in medical homes of children with disabilities, this study investigated whether family race/ethnicity, in addition to parent and child characteristics, significantly influenced family perceptions of FCC in three areas: family-provider partnership, care setting practices and policies, and community coordination and follow-up. Based on the life course theory for optimizing children's developmental trajectories, examining connections between family race/ethnicity and satisfaction with health care allows for identification of strengths and weaknesses in medical home services delivery, and offers opportunities for family support and improvement in outcomes for children with disabilities. This study developed an original empirical survey using a structured questionnaire developed by Family Voices, a national advocacy organization dedicated to promoting the well-being of children with disabilities and their families. The study collected data for 122 families in a large urban area in the northeastern United States. Multivariate analyses revealed that family race/ethnicity significantly contributed to the prediction of parental satisfaction with medical homes of children with disabilities, and to families' perceptions of FCC in care setting practices and policies, and community coordination and followup, but not to family provider partnership. Non-White families reported significantly lower satisfaction. Discussion emphasizes that health care providers need to become more vigilant in providing culturally sensitive care. To enhance FCC practices and policies, the study advances a checklist of ten essential areas that promote culturally sensitive interactions between families of children with disabilities and their medical and non-medical health care providers.     

What is competent communication behaviour of patients in physician consultations? – Chronically-ill patients answer in focus groups

Many desirable outcomes depend on good patient-physician communication. Patient-based perspectives of what constitutes competent communication behavior with physicians are needed for patient-oriented health care. Therefore it was our main aim to identify competent patient communication skills from the patient’s perspective. We also wanted to reveal any differences in opinion among various groups (chronic ischemic heart disease, chronic low back pain, breast cancer). This study examined nine guideline-supported focus groups in rehabilitation centers. The criterion for study inclusion was any one of the three diagnoses. Enrolled in the study were N = 49 patients (32 women) aged M = 60.1 (SD = 12.8). The interview recordings were transcribed and subjected to content analysis. We documented 396 commentaries in these interviews that were allocated to 82 different codes; these in turn resulted in the formation of 12 main topics. Examples are: posing questions, being an active and participatory patient, being aware of emotions and communicating them. This study represents stage two (‘documentation of patient and clinician views’) in the seven-stage model of communication research. Findings reveal that chronically-ill patients name behaviours that contribute to successful discussion with a physician. These enable us to develop communication trainings and design-measuring tools used for patient-based communication skills.