Maternal depression and developmental disability: research critique

Maternal depression in families having a child with a disability has been the subject of considerable research over the past 25 years. This review was designed to describe the literature on maternal depression, critique its research methodology, identify consensus findings across studies, and make recommendations for future research. A particular emphasis is on the distinction between exhibiting depressive symptoms and meeting clinical criteria for a depressive disorder, how or whether research studies made this distinction, and implications for our understanding of maternal adaptation to disability in a family member. Of the 42 articles reviewed, only eight were clinically diagnosed depression; most of them used a scale rating depressive symptoms. Across the studies, mothers of children with disabilities generally exhibited a higher than average rate of depressive symptoms and are more at risk for clinical depression, but the incidence may be lower than reported in previous literature. Child behavior problems, maternal stress, coping style, and support were consistently associated with depressive symptoms. We conclude that we know relatively little about clinical depression in mothers of children with disabilities. The distinction between clinical depression and depressive symptoms may be important in conceptualizing how a child with a disability can influence family members and the nature of support that may need to be provided. Future research should incorporate gold standard diagnostic tools and assess history, severity, and type of depression. Research is also needed to study treatments to reduce the occurrence of both depressive symptoms and clinical depression.     

Playing Princess: Preschool Girls’ Interpretations of Gender Stereotypes in Disney Princess Media

Through their 11 official princesses, Disney circulates powerful and consistent messages regarding gender norms and roles. Inspired by the princesses’ ubiquity in the lives of young girls, we examined how preschool girls interpreted gender-role stereotypes in Disney Princess media both through their pretend play behaviors and their discussions of the princesses. Participants included 31 3- to 5-year-old girls who represented an array of racial/ethnic and socioeconomic backgrounds and who came from four classes at two preschools in rural New England. Data collected from a variety of methods, including pretend play observations, semi-structured interviews, and parent questionnaires revealed participants’ stereotypical beliefs about the princesses and their adherence to gendered behaviors when enacting the princesses. Thematic analyses identified four themes that defined the participants’ princess play: beauty, focus on clothing and accessories, princess body movements, and exclusion of boys. The implications of gendered princess play are discussed in relation to the social cognitive theory of gender development and differentiation. Based on the outcomes of our study, parents and educators might reconsider the type and amount of media they provide their children, acknowledging the effects of these images on their children’s behaviors and understandings of gender.     

Improbable Possibilities

Whether or not a woman can “choose” her sexuality has been subject to debate because it contests essentialist notions of sexuality as fixed and determined early in life. This article explores the variabilities among women in sexual object choice and expression and elaborates on the claim that women's sexuality is fluid. It does so by presenting a summary of interviews with women of all sexual orientations who do, in fact, experience their sexuality as a conscious choice. Their own words reveal the plasticity of sexual attractions, experiences, and identities and the more fluid sexuality that emerges as a result. The article also highlights the importance of considering cultural and historical context—specifically the contemporary feminist movement—as it affects the range of possibilities in women's construction of their sexual desire and identity.     

A Community’s Response to Suicide Through Public Art: Stakeholder Perspectives from the Finding the Light Within Project

Suicide is a preventable public health problem and a leading cause of death in the United States. Despite recognized need for community-based strategies for suicide prevention, most suicide prevention programs focus on individual-level change. This article presents seven first person accounts of Finding the Light Within, a community mobilization initiative to reduce the stigma associated with suicide through public arts participation that took place in Philadelphia, Pennsylvania from 2011 through 2012. The stigma associated with suicide is a major challenge to suicide prevention, erecting social barriers to effective prevention and treatment and enhancing risk factors for people struggling with suicidal ideation and recovery after losing a loved one to suicide. This project engaged a large and diverse audience and built a new community around suicide prevention through participatory public art, including community design and production of a large public mural about suicide, storytelling and art workshops, and a storytelling website. We present this project as a model for how arts participation can address suicide on multiple fronts—from raising awareness and reducing stigma, to promoting community recovery, to providing healing for people and communities in need.     

Processing of emotional information in seasonal depression across different cognitive measures

This study examined memory for emotional material, endorsement of emotional adjectives, and negative attributional style (NAS) in seasonal affective disorder (SAD). SAD patients showed elevated NAS and increased endorsement of negative self-referent adjectives, but no memory bias for negative material, when compared with never-depressed controls. Longitudinal analyses revealed that none of these cognitive measures significantly predicted later symptom levels independent of initial symptom levels, in the SAD patients. The cross-sectional findings for adjective endorsement and memory were replicated in a second experiment. These data provide further evidence that depression-related memory effects in SAD are different from those found in nonseasonal depression. Accounts of these differences involving putative mood-repair processes and/or an absence of dysfunctional negative schemas in SAD are discussed.     

Dysfunctional attitudes in seasonal affective disorder

Research examining dysfunctional attitudes in Seasonal Affective Disorder (SAD) has produced contrasting results. The present study sought to resolve this contradiction by addressing some methodological problems of the previous studies. The study examined dysfunctional attitudes using the Dysfunctional Attitudes Scale (DAS) in individuals with SAD and never-depressed controls. The SAD group were tested both when depressed in the winter (Time 1) and during their remission period (Time 2). At Time 1 the SAD group displayed a relatively elevated DAS compared to controls and to their Time 2 scores. These data therefore provide potential support for a view that SAD is characterized by underlying dysfunctional attitudes.     

Abbreviated form of the Wechsler Memory Scale-III Faces subtest

A major criticism of the Wechsler Memory Scale-III Faces subtest is the number of items, which can be daunting and time-consuming for an impaired client or boring for a normal client. An analysis of several versions, with data from a sample of 50 clinical referrals, revealed that a 32-item subtest was best overall. Using this version, 100% (Faces I) and 94% (Faces II) of the predicted raw scores were less than 4 points away from the actual raw scores, whereas 66% (Faces I) and 70% (Faces II) were less than 2 points away. Limitations of this procedure are discussed.     

PROMOTING PARENT-PROVIDER INTERACTION DURING YOUNG CHILDREN'S HEALTH-SUPERVISION VISITS

We prompted parents to increase their interactions with health-care providers during their children's health-supervision visits. Before scheduled appointments we asked parents of 32 infants and young children if they had specific child health questions or concerns. Sixteen parents randomly assigned to the prompted group were then prompted to initiate discussions of their concerns. Sixteen control parents discussed unrelated topics before their appointments. Prompted parents initiated significantly more interactions with health-care providers and more health and behavioral topics were discussed during their appointments. Both parent groups reported satisfaction with health-care services. Further research is needed to determine the clinical significance of outcomes associated with enhanced parent-provider interaction during children's health-supervision visits. These visits are ideal settings for behavioral research on improving health care for children and their families.     

Cognitive-behavior therapy in the treatment of cancer patients

Cognitive-behavioral strategies are employed in the treatment of cancer patients to eliminate nausea, control anxiety, pain, and depression. Specific techniques including relaxation, systematic desensitization and hypnosis are discussed. It is shown how cognitive strategies can create a more favorable environment for treatment.William L. Golden, Ph.D. — Licensed psychologist in private practice in New York City and Westchester, New York. He also is on the faculty of Cornell Medical College, New York City, the Institute for Rational-Emotive Therapy, New York City, and the Institute for Behavior Therapy, New York City.Wayne Gersh, Ph.D. — Licensed psychologist and co-director of the Westchester Center for Behavior Therapy, White Plains, New York. He also is a psychologist for the American Cancer Society.     

Olfaction in Persons with Alzheimer's Disease

The need for low cost, noninvasive procedures for aiding in the diagnosis and understanding of Alzheimer's Disease (AD) has led to theories and procedures examining the role of olfactory disorders because of the finding that the brains of AD patients invariably exhibit neuropathology hi the hippocampus and entorhinal cortex. This loss correlates with the increase in the number of plaques and tangles and with the severity of dementia. Considered together, these findings suggest that brain structures closely related to the olfactory system demonstrate significant histopathology in AD. A comprehensive review of the literature pertaining to olfaction in persons with AD revealed that the olfactory identification ability of patients with memory disorders is impaired relative to controls. Consistency is lacking, however, when olfactory detection thresholds are investigated. Also, there is inconsistency in regards to severity of illness and olfactory function. In addition to differentiating AD patients from normals, the olfactory paradigm has shown some limited usefulness in differentiating AD patients from some other demented patients.