Behavior Problems, Academic Skill Delays and School Failure Among School-Aged Children in Foster Care: Their Relationship to Placement Characteristics

We describe the level of behavior problems, academic skill delays, and school failure among school-aged children in foster care. We also examine how behavior problems are associated with academic problems, and explore how these outcomes are related to children's placement characteristics. Foster parent and child home interviews, as well as teacher telephone interviews were conducted from a randomly selected sample of 302 children aged 6 through 12 years living in out-of-home placement. Interviews included standardized screening measures. Results showed that 27% of the children scored in the clinical range for a behavior problem, and 34% were rated as having at least one behavior problem in the classroom. Twenty-three percent of the children had severe delays in reading or math, 13% had repeated a grade, and 14% had a history of school suspension and/or expulsion. Behavior problems by foster parent report were related to child suspension and/or expulsion from school, but were not associated with severe academic delays or grade retention. Placement characteristics were only sometimes related to these outcomes. Future studies examining the mental health and educational needs of this population should take into account the child's sociodemographic and placement characteristics.     

The role of neuropsychology in UK pediatric HIV care: Relevance to clinical practice and research

There has been a dramatic improvement in the survival of children with perinatally-acquired HIV (PHIV) following the introduction of effective treatment in 1990s. The care for children living with PHIV is now focused on more accurately understanding the effects of both HIV and HIV treatment on the developing body and brain. An evaluation of current HIV neuroimaging, and neurocognitive research, when combined with clinical experience in the area of HIV, could help to inform United Kingdom (UK) PHIV service provision. This paper argues that an understanding from a neuropsychological perspective will help these young people to optimize their health, quality of life, and future functioning. The aim of the paper is to bring together research and clinical understanding of HIV and its treatment effects on the developing brain, together with an understanding of other potential neurological risk factors. It is argued here that there is a need for targeted neuropsychology assessment and preventative interventions, supported by clinical and preliminary research on the neurocognitive effects of HIV and its treatments.     

Embodied Harm: A Phenomenological Engagement with Stereotype Threat

By applying classical and contemporary insights of the phenomenological tradition to key findings within the literature on stereotype threat (ST), this paper considers the embodied effects of everyday exposure to racism and makes a contribution to the growing field of applied phenomenology. In what follows, the paper asks how a phenomenological perspective can both contribute to and enrich discussions of ST in psychology. In answering these questions, the paper uses evidence from social psychology as well as first personal testimonies from members of marginalized groups to argue that subjectively experienced racial oppression is embodied and thus has effects on selfhood that are harmful. More specifically, it makes the case that what are most often considered to be temporary or context-based consequences of ST are in fact more wide reaching and harmful than assumed in that the harms that result from suffering ST become a part of one’s identity, and thus a background lens through which one experiences the world.     

Cross-linguistic phonotactic competition and cognitive control in bilinguals

The current study examines the relation between cognitive control and linguistic competition resolution at the sublexical level in bilinguals. Twenty-one Spanish–English bilinguals and 23 English monolinguals completed a non-linguistic Stroop task (indexing inhibitory control) and a linguistic priming/lexical decision task (indexing Spanish phonotactic-constraint competition during English comprehension). More efficient Stroop performance (i.e. a smaller Stroop effect) in bilinguals was associated with decreased competition from Spanish phonotactic constraints during English comprehension. This relation was observed when nonword targets overlapped in phonotactic constraints and phonological form with preceding cognate primes (e.g. prime: stable (Spanish: estable)/target: esteriors). Findings suggest a link between non-linguistic cognitive control and co-activation of linguistic structures at the sublexical level in bilinguals.     

Ethics and rural healthcare: what really happens? What might help?

Relatively few articles discuss the ethical issues that accompany healthcare in rural areas. This article presents and discusses the key findings obtained from multi-method research studies conducted over a 9-year period of time in a multi-state rural area. It challenges the efficacy of current models for bioethics, shows what kinds of ethical issues develop in rural communities, and offers a framework for envisioning resources and approaches that may be more appropriate.     

The Use of Homework in Cognitive Behavior Therapy: Working with Complex Anxiety and Insomnia

Homework, or self-help, is an essential and required part of cognitive behavioral treatment. It offers several opportunities for the therapist to extend and increase therapy contact by having the patient “live” the therapy outside of the consulting room. It can also serve as a measure of the patient’s motivation for therapy or for change. Homework offers the patient an opportunity to practice what has been developed and discussed in the therapy session. By trying out new behaviors, new ideas, or new emotional responses, the patient can make “real” what has been an abstraction in the therapeutic dialogue. The homework becomes an opportunity for gathering data. Inasmuch as the homework grows “organically” from the session content, it is relevant and timely. Homework provides continuity between sessions. Rather than sessions being discrete moments in time, they are chained together by the homework from the previous session being included in the agenda for the subsequent session. The homework can be structured to involve significant others. This is essential in many therapeutic situations, and having the significant others involved can substantially aid in relapse prevention. Finally, effective homework helps to build therapeutic collaboration and afford the patient the opportunity for building self-efficacy. Using several case examples, this paper describes the functions and impediments to using homework in CBT.