Family Support in Children’s Mental Health: A Review and Synthesis

A comprehensive review of structured family support programs in children’s mental health was conducted in collaboration with leadership from key national family organizations. The goals were to identify typologies of family support services for which evaluation data existed and identify research gaps. Over 200 programs were examined; 50 met criteria for inclusion. Programs were categorized by whether they were delivered by peer family members, clinicians, or teams. Five salient components of family support were identified: (a) informational, (b) instructional, (c) emotional, (d) instrumental, and (e) advocacy. Clinician-led programs were heavily represented (n = 33, 66%), followed by family-led (n = 11, 22%), and team-delivered (n = 6, 12%) programs. Key differences between programs delivered by clinicians or by peer family members were found in the degree of emphasis, research methodology, and outcomes. However, the content of the components was similar across all three program types. There are both important differences in emphasis across typologies of family support provided by clinicians, family members, or teams as well as important similarities in content. Family-delivered support may be an important adjunct to existing services for parents, although the research base remains thin. A research agenda to promote more rigorous evaluations of these services especially those delivered by peer family members is critical.     

Assessing functions of stimuli associated with rich‐to‐lean transitions using a choice procedure

Under fixed‐ratio schedules, transitions from more to less favorable conditions of reinforcement (rich‐to‐lean transitions) usually generate extended pausing. One possible explanation for this effect is that stimuli associated with rich‐to‐lean transitions are aversive and, thus, extended pausing functions as escape. The purpose of this study was to characterize further the aversive function of different transitions, and the stimuli associated with them, by allowing pigeons to choose to complete select ratios in the presence of either a mixed‐schedule stimulus or a transition‐specific multiple‐schedule stimulus. The mixed schedule was preferred during transitions that signaled an upcoming lean reinforcer (rich‐to‐lean and lean‐to‐lean), whereas the multiple schedule was preferred during transitions that signaled an upcoming rich reinforcer (lean‐to‐rich and rich‐to‐rich). These findings support the notion that stimuli associated with rich‐to‐lean (and to some extent lean‐to‐lean) transitions can function aversively; whereas stimuli associated with other transitions (e.g., lean‐to‐rich and rich‐to‐rich) can function as conditioned reinforcers. When the opportunity to choose between schedule‐correlated stimuli was available, however, choice latency was controlled exclusively by the multiple‐schedule stimulus. That is, the opportunity to select the mixed schedule did not attenuate rich‐to‐lean pauses, suggesting that extended pausing may be more than simply escape.     

The effects of interpersonal relationship and character gender on adolescents' resolutions of moral dilemmas

An experimental study using two forms of the Defining Issues Test [Rest, J. R. (1979). Revised manual for the Defining Issues Test. Minneapolis: Moral Research Project, University of Minnesota.], modified to present either a high degree of relationship among characters or a low degree of relationship among characters, was conducted with 114 college students. The gender of the characters in the dilemmas was also systematically varied. Both male and female students evidenced principled (Stages 5 and 6) reasoning more often when dilemma characters were male than when story characters were female. Participant gender and relationship condition were significant factors in the frequency of Stage 4 reasoning. Male students in the low-relationship condition evidenced Stage 4 (“Law and order”) reasoning most often when story characters were male, while male students, like female students in all conditions, showed Stage 4 reasoning more often when female characters were presented in the high-relationship condition. The degree to which moral decisions were supportive of an affected character revealed more support when story characters were female than when they were male. Results indicate that even in hypothetical situations, moral judgments vary with the gender of the person being judged and to some degree with the relationships among those involved in the dilemma. These findings are consistent with a view that multiple, equally valid approaches to moral judgment might exist and affect the development of male and female students differently.