Adolescent Self-Assessment of an Outdoor Behavioral Health Program: Longitudinal Outcomes and Trajectories of Change

Outdoor behavioral healthcare is an increasingly popular treatment modality for adolescents, and evidence suggests that it is effective for a wide range of complex issues. The outdoor behavioral healthcare literature still faces major limitations though, and one of these limitations is that outcomes are primarily measured at only admit and discharge. This study sought to explore the trajectory of change throughout treatment, and investigate outcomes up to 18?months post-discharge. Of the 659 adolescent participants from four outdoor behavioral healthcare programs, 29?% were female, 18?% were adopted, and the average age was 16?years old. Participants were invited to complete questionnaires four times during treatment, and at 6 and 18?months post-discharge. We used multilevel modeling to explore trajectories and predictors of change during treatment, and a regression and an ANOVA to examine outcomes post-discharge. Results of the multilevel modeling supported that adolescents make significant changes during outdoor behavioral healthcare, and also contributed new findings on demographic and diagnostic predictors. Gender and the presence of a mood or anxiety disorder predicted greater rates of change during treatment. Analysis of post-discharge data at six and 18?months post-discharge suggested that clients maintain treatment effects and that gender persists in influencing outcomes. This study is the first to examine trajectories of change in outdoor behavioral healthcare, to find diagnostic variables to be relevant, and to examine self-report outcomes past 12?months post-discharge.     

The book of Job as a resource for counseling

The book of Job is commonly considered an exemplary study in the dynamics of suffering and the problem of theodicy. This article considers the book of Job for its insights into the challenge of providing pastoral care to persons in spiritual pain. The dialog between Job and his friends illustrates how spiritual distress challenges the theological assumptions of both sufferer and caregiver. In an effort to maintain one's own spiritual equilibrium, and no doubt out of good faith efforts to comfort the afflicted, the pastoral caregiver may be tempted to cling to theological formulas and religious perspectives which disallow the sufferer's experience of anger and despair. The story of Job affirms the value of authenticity over piety, speaks of the transformative power of suffering, and provides the counselor/pastoral caregiver insights into the pitfalls and promise of caring for persons in spiritual pain.     

Change in caregiver depression as a function of the Strong African American Families Program.

A randomized prevention trial contrasted families who participated in the Strong African American Families Program (SAAF), a preventive intervention for rural African American parents and their 11-year-olds, with control families. This article focuses on the program's effect on primary caregivers' depressive symptoms. Among the 167 caregivers with elevated scores on the Center for Epidemiologic Studies-Depression Scale, SAAF participation was associated with reduced depressive symptoms, enhanced parenting, and perceived improvements in youth behavior. Change in parenting (consistent discipline, youth monitoring, and open communication) but not change in youth intrapersonal competencies significantly mediated intervention effects on caregivers' depression. Results support the link between reduced depressive symptoms and stronger family relationships, particularly the importance of enhanced parenting efficacy in alleviating depressive symptoms.     

Negative urgency: a personality predictor of externalizing behavior characterized by neuroticism, low conscientiousness, and disagreeableness

Negative urgency, the tendency to act rashly when distressed, is characterized by high Neuroticism, low Conscientiousness, and low Agreeableness. Because of this set of characteristics, the authors hypothesized that (1) negative urgency (NU) is a particularly important predictor of externalizing dysfunction; (2) traits that reflect primarily high Neuroticism predict internalizing dysfunction; and (3) traits that reflect primarily low Conscientiousness predict those types of externalizing dysfunction that include intense affect less strongly than does NU. In three studies, the authors showed that negative urgency concurrently predicted alcohol dependence symptoms in disordered women, drinking problems and smoker status in preadolescents, and aggression, risky sex, illegal drug use, drinking problems, and conduct disordered behavior in college students. High Neuroticism traits predicted internalizing dysfunction but predicted none of these externalizing criteria beyond negative urgency. Low Conscientiousness did not add to prediction from negative urgency, except in a few cases. The tendency toward affect-driven rash action may underlie many externalizing behaviors.     

Change and stability in sexism among college students: A three-year panel study

Results are reported of a 3-year panel study of sex-role attitude changes among Ball State University students. Two questions were posed: (1) To what extent do students change their sex-role attitudes? (2) What types of students are more likely to change their attitudes? Contrary to expectations, students did not become progressively less sexist each year they were in college. Apparently, changes in student sex-role attitudes were more reflective of changes in local public opinion rather than following the Bennington College pattern. An important finding of the study is that those who were initially the most sexist displayed the greatest degree of change in their attitudes. A mixed pattern prevails with regard to relationships between changes in attitudes and background characteristics, personal orientations, and political orientations.     

Human neuropsychology: Some differences between korsakoff and normal operant performance

Summary Operant reinforcement schedules were used to investigate the effects of changes in reinforcement rates on the behavior of alcoholic Korsakoff (amnesic) patients and normal control subjects. In one test, both groups were exposed to pairs of variable-interval (VI) reinforcement schedules which operated concurrently. The distribution of reinforcements controlled the distribution of responses of normal subjects to a significantly greater extent than those of the Korsakoff patients. In a second test, two VI reinforcement schedules were arranged to run one at a time in succession. Reinforcement-rate differences with the successive (multiple) schedules did not produce corresponding response-rate differences for either group of subjects. The findings stress the complexity of the alcoholic Korsakoff syndrome, and emphasize the need to consider possible motivational abnormalities as determinants of alcohol-induced amnesia. In addition, results underscore both the value and the limitations of using operant procedures in human learning research.Supported in part by PHS Grants NS 07615 and NS 06209, by PHS RCDA K04 NS 00161 to M. O. Berman, and by the Medical Research Service of the Veterans Administration. Address offprint requests to M.O. Berman, BVAMC, 150 So. Huntington Ave., Boston, MA. 02130, USA     

Siblings' Direct and Indirect Contributions to Child Development

Abstract— Since the early 1980s, a growing body of research has described the contributions of sibling relationships to child and adolescent development. Interactions with older siblings promote young children's language and cognitive development, their understanding of other people's emotions and perspectives, and, conversely, their development of antisocial behavior. Studies address the ways in which parents' experiences with older children contribute to their rearing of younger children, which in turn contributes to the younger children's development. Finally, by virtue of having a sibling, children may receive differential treatment from their parents. Under some conditions, differential treatment is associated with emotional and behavioral problems in children.     

Orthographic learning in learning to spell: The roles of semantics and type of practice

This study investigated the relevance of type of practice and presence of semantic representation for orthographic learning in learning to spell. A total of 36 students in Grade 2 (mean age = 7 years 10 months) were exposed to 10 novel nonwords, 5 of which were paired with semantic information. Half of the participants practiced reading these new items, whereas the others spelled them. The students were then tested 1 and 7 days later on a dictation task. Results revealed a significant main effect of practice type favoring spelling practice and a main effect of the teaching condition, where taught items paired with semantic information were spelled correctly more often than words presented without semantic support. There was no effect of testing time, with learned words being retained well over the 1-week delay, nor were there any significant interactions. The findings support the contention that spelling offers an excellent milieu for orthographic learning to occur. Furthermore, semantics are proposed as a relevant factor in learning to spell, supporting the view that orthographic learning involves the integration of phonological, orthographic, and semantic representations.