The Role of Perfectionism in Relation to an Intervention to Reduce Anxious and Depressive Symptoms in Children

Research has demonstrated an association between perfectionism and depressive and anxious symptoms in children. We examined whether a school-based program targeting anxious and depressive symptoms would reduce perfectionism, and whether perfectionism would interfere with intervention outcomes. The participants were 78 school-age children identified as at-risk for anxiety and/or depression. At-risk children took part in a randomized controlled trial of a school-based intervention program. Levels of perfectionism, depression, and anxiety were assessed at pre-treatment (Time 1) and again at post-treatment (Time 2) after participating in either a cognitive behavioral group or a structured activity group. Participation in either group was associated with significant reductions in overall levels of self-oriented perfectionism, anxious symptoms, and depressive symptoms. Supplementary analyses indicated that pre-treatment self-oriented perfectionism influenced post-treatment depression scores, suggesting that perfectionism interferes with treatment outcome. Perfectionism in children appeared amenable to group-based intervention, and identifying perfectionism may be important for treating children with depressive symptoms.     

The etiology of psychopathy: A neuropsychological perspective

While there is no universally accepted cause of psychopathy, there are basic biological patterns in brain dysfunction observed in individuals who display psychopathic tendencies. These individuals show significant impairment in specific regions of the brain, particularly the orbital frontal cortex (OFC). Such abnormalities exist in brain areas most involved in impulse control and behavior inhibition. There are also significant environmental factors that the majority of these individuals have in common. For example, a strong correlation exists between attachment disorder and anti-social personality disorder (ASPD). Finally, the differences between ASPD, psychopathy, and sociopathy are considered. While these terms are often used interchangeably, there are clear differences between these psychopathologies.     

A COMPARISON OF THE EFFECTS OF BRIEF RULES, A TIMER, AND PREFERRED TOYS ON SELF-CONTROL

Some children make impulsive choices (i.e., choose a small but immediate reinforcer over a large but delayed reinforcer). Previous research has shown that delay fading, providing an alternative activity during the delay, teaching participants to repeat a rule during the delay, combining delay fading with an alternative activity, and combining delay fading with a countdown timer are effective for increasing self‐control (i.e., choosing the large but delayed reinforcer over the small but immediate reinforcer). The purpose of the current study was to compare the effects of various interventions in the absence of delay fading (i.e., providing brief rules, providing a countdown timer during the delay, or providing preferred toys during the delay) on self‐control. Results suggested that providing brief rules or a countdown timer during the delay was ineffective for enhancing self‐control. However, providing preferred toys during the delay effectively enhanced self‐control.     

Children's emotional responsiveness and sociomoral understanding and associations with mothers' and fathers' socialization practices

Sixty‐two preschoolers (55% boys) were presented hypothetical dilemmas about moral transgressions. Responses were evaluated in terms of children's emotional responsiveness, prosocial motives, and readiness to intervene. Mothers and fathers reported separately on their use of victim‐oriented inductions, teaching reparations, power assertion, and love withdrawal. Four years later, parents reported on children's behavioral problems, emotion‐regulation ability, and empathy. Mothers reported using more victim‐oriented inductions than did fathers, and girls responded with more personal distress and reported more rule‐oriented motives. Maternal love withdrawal was a positive predictor of empathy and motives of concern. For fathers, teaching reparations were positively related to children's sympathy. Interestingly, mothers' power assertion was negatively related to sympathy at high levels of fathers' power assertion, but not at low levels. Maternal power assertion during the preschool years was negatively associated with children's long‐term empathy scores. School‐age outcomes also were meaningfully predicted by earlier sociomoral competence.     

The effect of dividing attention between walking and auxiliary tasks in people with Parkinson's disease

This controlled study examined the effects of dividing attention between walking and the performance of a secondary cognitive task in people with mild to moderate Parkinson's disease (Hoehn and Yahr stages 2-3.5). Participants in the training group (n=6) received 30 min divided attention training in taking big steps while simultaneously performing serial three subtractions. Participants in the control group (n=6) received no training. Stride length, gait velocity and accurate enumeration rate were measured at baseline, immediate after training and 30 min after training under single-task (walk only or subtract only) and dual-task (walk and subtract) conditions. Data were also collected at training in the training group. Immediate improvement in stride length and gait velocity was found when instruction was given to participants to pay equal attention to gait and subtractions (p=0.001, p=0.05) compared to baseline. Short-term improvement in the gait variables was also found after training when compared to the controls (p=0.001, p=0.001). Nevertheless, there was no significant difference in the accurate enumeration rate. Based on the findings, we conclude that divided attention can be used as a strategy to improve slow and short-stepped gait under dual-task conditions. Divided attention can also be used in gait training for short term stride length and gait velocity improvement.     

The perceptual span during foveally-demanding visual target localization

Foveally-induced processing load deteriorates target localization performance in vision-guided tasks. Here, participants searched for a target embedded among coded distractors. High processing load was effected by instructing some participants to use the coded distractors to guide their search for the target. Other participants (in the low processing load condition) were not apprised of the code. The experiment examined whether increased processing load alters the span of effective processing (i.e. perceptual span) by (a) reducing its size, (b) altering its shape, or (c) reducing its size and altering its shape. The results demonstrated a reduction in the size of the perceptual span, with no significant change to its shape. It is argued that when distractors are processed beyond simply rejecting them as non targets, the perceptual span shrinks with increasing processing load. The findings are discussed in contrast to a general interference theory that predicts a change in vision-guided performance without a shrinking of the perceptual span.     

Group therapist as social scientist, with special reference to the psychodynamically oriented psychotherapist

The recent literature suggests a lowering of tensions between psychotherapy practitioners and researchers in the decades-long "psychotherapy war." The author analyzes reasons for the thawing and suggests that the time is ripe for clinicians to assume greater authority in the work of developing models of the psychotherapy change process. The article highlights the unique positioning of the psychodynamic group psychotherapist for advancing this work. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Intimate Violence Against Women: Trajectories for Pastoral Care in a New Millennium

This article reviews progress made in the theory and practice of pastoral care and counseling with regard to the issue of intimate violence against women since the 1970’s. It includes a comprehensive survey of sociological, psychological, and pastoral literature, and a summary of research on teaching about domestic violence in mainline Protestant seminaries. Social and theological themes, including gender, power, and social and political context, and the challenges of justice-making are traced historically. The article concludes with new recommendations for churches, pastoral caregivers, counselors, and theologians.     

Attitudes About Internet Support Groups Among Adolescents and Young Adults with Neurofibromatosis Type 1 and their Parents

Youth with neurofibromatosis type 1 (NF1) have multiple, complex symptoms associated with physical, social-emotional, and cognitive difficulties. In addition, caring for a child with NF1 can be extremely challenging for parents. Since research with other chronic illness populations suggests that social support, including internet support groups (ISGs), can be beneficial, this survey study aimed to determine the attitudes and preferences of adolescents and young adults with NF1 and parents of a child with NF1 regarding ISGs. Thirty patients and 30 caregivers completed a 24-item survey about ISGs. Many patients and parents are not aware of any ISGs for NF1, but are interested in using one in the future for a variety of reasons, including to get answers to their questions about NF1, to find out about research studies, and to discuss problems and concerns about NF1. Specific concerns of interest include physical, social-emotional, and cognitive aspects of NF1. ISGs have potential as a social support intervention within the NF1 community. ISGs for the NF1 population should include patients with NF1 (or parents of children with NF1) as well as a health professional, and both chat rooms and discussion boards likely would be well-received.