Establishing Treatment Fidelity in Evidence-Based Parent Training Programs for Externalizing Disorders in Children and Adolescents

The current review evaluates the use of treatment fidelity strategies in evidence-based parent training programs for treating externalizing disorders. We used a broad framework for evaluating treatment fidelity developed by the National Institutes of Health Treatment Fidelity Workgroup that includes the aspects of treatment design, treatment delivery, training providers, and assessment of participant receipt of treatment and enactment of treatment skills. Sixty-five articles reporting outcome trials of evidence-based parent training programs met inclusion criteria and were coded for treatment fidelity strategies. The mean adherence to fidelity strategies was .73, which was higher than two previous review studies employing this framework in the health literature. Strategies related to treatment design showed the highest mean adherence (.83), whereas training of providers and enactment of treatment skills had the lowest (.58). In light of an increasing emphasis on effectiveness and dissemination trials, the broader treatment fidelity framework as applied in this review focuses needed attention on areas often overlooked in fidelity practices, such as training providers and generalization of treatment skills. We discuss the strengths and limitations of fidelity practices in parent training studies, implications of these findings, and areas for future research.     

Legacies of War: Asian American Women and War Trauma

ABSTRACT

Although Asian Americans are diverse in many ways, such as language, culture, ethnicity, religion, generational status, and more, many share a common experience: that of having experienced war first hand or being progeny of war survivors. World War II, the Korean War, the Vietnam War, the Cambodian genocide, along with centuries of oppressive and authoritarian rule, have brought experiences of trauma, directly and historically, to the lives of many Asians. Subsequent experiences of migration and resettlement, as well as life in the United States as an ethnic minority, have also compounded the layers of oppression for many Asian Americans. Sexism in our cultures of origin, as well as sexism in the U.S., represents additional realities and traumas faced by Asian American women. In this article, we explore the experiences of war and subsequent traumas in the lives of Asian American women. We present a brief review of the current state of mental health as it relates to the experiences of war trauma, with the goal of providing a crucial contextual backdrop for our review of the best practices in mental health services to Asian American women. We review some of the best practices and conclude with a narrative reflection based on our own involvement in a small professional women’s group that yielded insights, discoveries, healing, and empowerment from the legacy of war trauma.     

Cognitive reappraisal reduces perceived exertion during endurance exercise

Emotion regulation may influence psychological responses to exercise. We examined whether the emotion regulation strategies, cognitive reappraisal and distraction, influenced psychological state and prefrontal cortex oxygenation during endurance exercise. Twenty-four endurance runners ran for 90 min at 75–85% maximum heart rate in three separate sessions with no instruction or with instructions to use cognitive reappraisal or distraction. Participants rated their emotional arousal, emotional valence, and perceived exertion before, every 30 min during, and after exercise. Functional near-infrared spectroscopy quantified changes in prefrontal cortex oxygenation. Participants felt lower emotional arousal and physical exertion when instructed to utilize cognitive reappraisal than when given no emotion regulation instruction. Such responses to distraction did not differ from the other conditions. Emotion regulation strategies did not influence emotional valence or prefrontal cortex oxygenation. Participants’ analytical interpretation of the cognitive reappraisal instruction could contribute to small effect sizes and limited effects. Further research should determine contexts under which emotion regulation strategies most benefit endurance exercise experience.     

Parapsychology and biblical religion

Pastoral Psychology -     

“Shrink Rap” on the Air,Mentalizing in the Last Frontier

This paper highlights the author's approach to expand the process of mentalizing in a rural Alaskan town. Limited resources and a steady flow in cases of trauma, loss, and abuse prompted the question, “What treatment approach would facilitate healing and the promotion of security?” The author illustrates how a unique culture and independent, frontier-minded individuals influenced her use of a systems and psychoeducational approach. Psychoanalytic concepts, attachment research, and mentalization became the guiding principles for weekly broadcasts of Shrink Rap, a radio show including “relational scenarios” acted and analyzed by the author and community participants.     

Pautas de adquisición y uso del pronombre personal en lengua española. Un estudio longitudinal

Resumen

El estudio sobre los pronombres personales, constituye también una manera de investigar la adquisición del lenguaje y su desarrollo, dado que son categorías lingüísticas. El niño no adquiere el dominio de estas categorías tan pronto como lo hace con otros aspectos del lenguaje, aunque los usa desde muy temprana edad. De esta manera suponemos que al comienzo el niño utiliza las formas pronominales únicamente como deícticos. Esto es, sólo puede comprenderse el significado de estos términos en las expresiones infantiles con referencia al tiempo y al contexto comunicativo presente y concreto. Por esta razón autores como Clark, (1974, 1978), Charney (1980), afirman que le pronombre personal, en su sentido lingüístico, no es adquirido por los niños hasta los ocho o nueve años de edad.

En el presente estudio intentamos poner de manifiesto cómo adquieren los niños españoles estos términos y cómo evolucionan en su desarrollo. Para ello, se realizó un análisis de la producción verbal de varios niños, en sus aspectos: sintáctico, semántico y pragmático. Dicha producción se recogió a través de observación natural. Los sujetos de este estudio de medios ambientales diferentes.     

Review of The Supervisor's Guidebook: Evidence-Based Strategies for Promoting Work Quality and Enjoyment Among Human Service Staff (2nd edition) by Dennis Reid,Marsha Parsons,and Carolyn Green

This article summarizes a review of the book The Supervisor's Guidebook: Evidence-Based Strategies for Promoting Work Quality and Enjoyment Among Human Service Staff (2nd edition) by Reid, Parsons, and Green. We describe the book's organization and content. In addition, strengths and areas for improvement are noted. The book provides rich, relevant content to guide supervisory practices within a participative, evidence-based approach that could be applied in various human service settings.     

The Impact of Adolescent Suicide on Siblings and Parents: A Longitudinal Follow-Up

The psychiatric sequelae of loss of a family member to suicide were evaluated in parents and siblings of adolescent suicide victims and controls, who were followed up to 3 years after the suicide. Siblings did not show an increased risk for the development of depression, posttraumatic stress disorder (PTSD), or other conditions over the course of follow-up, despite showing a prolonged elevated level of grief symptomatology. Mothers showed an increased rate of recurrence of depression over follow-up, whereas fathers did not show an increased incidence of disorder compared to fathers of controls. The interrelationship of bereavement and depression for siblings, parents, and others exposed to suicide is discussed.