Maternal sensitivity in interactions with three‐ and 12‐month‐old infants: Stability,structural composition,and developmental consequences

This study addresses three topics related to the structural components of maternal sensitivity: (a) The stability of sensitivity over a nine‐month period, (b) the predictability of maternal sensitivity assessed at 12 months from early parameters of parenting and (c) the relation between maternal sensitivity and developmental outcomes assessed at 12 months. Maternal sensitivity and its components (signal perception, correct interpretation, prompt, and appropriate reaction) were evaluated for 60 mother–infant‐dyads when their infants were aged three and 12 months. Additional parameters of early parenting were maternal emotional warmth and behavioural contingency. Developmental outcome measures were the amount of infant crying and the quality of attachment at twelve months. The results showed close correlations between the sensitivity components suggesting a unidimensional structure for maternal sensitivity. The sensitivity assessments were significantly related to measures of maternal warmth. Stability of maternal sensitivity over time was, however, quite low. There was no relation between the early sensitivity assessments and later developmental outcomes, whereas there was a significant relation between the sensitivity parameters assessed at twelve months and developmental outcomes. The results indicate changes in the meaning of maternal sensitivity during infants' development. Copyright © 2004 John Wiley & Sons, Ltd.     

Effects of consumer perceptions of brand experience on the web: brand familiarity,satisfaction and brand trust

Creating a customer experience that is synonymous with a particular (website) brand is becoming increasingly recognised as a vital driver of e‐performance. E‐tailors are just as likely to try to influence consumers' shopping behaviour, through atmospherics and service, as brick‐and‐mortar stores. This study investigates several questions that have been left unanswered in recent studies of consumer behaviour in the context of internet‐based marketing. Its focus lies in addressing the issue of whether there is a direct relationship between brand experience and brand trust or whether there is an indirect relationship via satisfaction or brand familiarity. The results of an empirical study of e‐consumer behaviour show that brand trust is achieved through the following dimensions operating and interrelating as antecedent constructs: first, various brand experiences and the search for information, secondly, a high level of brand familiarity, and thirdly, customer satisfaction based on cognitive and emotional factors. These findings should assist marketers and academics in their understanding of the development of brand trust in an internet‐based environment. Copyright © 2005 John Wiley & Sons, Ltd.     

Alethic Pluralism and the Role of Reference in the Metaphysics of Truth

In this paper, I outline and defend a novel approach to alethic pluralism, the thesis that truth has more than one metaphysical nature: where truth is, in part, explained by reference, it is (relevantly) relational in character and can be regarded as consisting in correspondence; but where instead truth does not depend upon reference it is not (relevantly) relational and involves only coherence. In the process, I articulate a clear sense in which truth may or may not depend upon reference: this involves distinguishing semantic denotation from pragmatic speaker reference and claiming that there may or may not exist a metasemantic connection between these two notions. Finally, I argue that reference is not in general inscrutable—that this metasemantic connection does exist in the case of our ordinary discourse about present macroscopic concrete objects—but that it is in pure mathematics, where reference cannot be secured, and which therefore plays no role in accounting for truth. In this manner, alethic pluralism is upheld.     

The impact of organisational change on professionals working within a Community Mental Health Team (CMHT): a psychodynamic perspective

The aim of this study was to explore the effects of organisational change upon staff working in a Community Mental Health Team (CMHT). A grounded theory methodology was employed to analyse data from eight interviews with a range of staff. Analysis identified one core category and five key categories. ‘Corrosion of good work: an ethos in decline’ represents the core category and refers to the staff members’ sense of demoralisation of their professional values and integrity. The first key category, ‘Cultural change’, refers to staff members’ perception of change within the CMHT, with an increased emphasis on regulation, performance management and proceduralisation. Three further key categories were identified: ‘Caring clinicians and uncaring managers’, ‘Confusion regarding professional roles’ and ‘Disconnecting and isolating’. The fifth key ‘Staff departing and increasing risk for clients’, describes the impact of the working culture. These categories and emerging theory were interpreted through a psychodynamic lens, and identified the need for better management practice, support, training and supervision of staff as the foundations of safe practice.     

Do emotional stimuli enhance or impede recall relative to neutral stimuli? An investigation of two “false memory” tasks

Many eyewitness memory situations involve negative and distressing events; however, many studies investigating “false memory” phenomena use neutral stimuli only. The aim of the present study was to determine how both the Deese–Roediger–McDermott (DRM) procedure and the Misinformation Effect Paradigm tasks were related to each other using distressing and neutral stimuli. Participants completed the DRM (with negative and neutral word lists) and viewed a distressing or neutral film. Misinformation for the film was introduced and memory was assessed. Film accuracy and misinformation susceptibility were found to be greater for those who viewed the distressing film relative to the neutral film. Accuracy responses on both tasks were related, however, susceptibility to the DRM illusion and Misinformation Effect were not. The misinformation findings support the Paradoxical Negative Emotion (PNE) hypothesis that negative stimuli will lead to remembering more accurate details but also greater likelihood of memory distortion. However, the PNE hypothesis was not supported for the DRM results. The findings also suggest that the DRM and Misinformation tasks are not equivalent and may have differences in underlying mechanisms. Future research should focus on more ecologically valid methods of assessing false memory.     

Dialectical Behavior Therapy Skills for Families of Individuals With Behavioral Disorders: Initial Feasibility and Outcomes

Family members of individuals with behavioral disorders are a valuable source of logistical and emotional support for patients. Family members may take on tremendous financial and/or psychological responsibility to care for their loved ones, which can result in poor psychological outcomes for the family and, in turn, impede the recovery of the patient. Dialectical Behavior Therapy (DBT) skills training is an effective treatment that has been utilized with numerous populations, including family members of individuals with behavioral problems, and has shown efficacy in improving various interpersonal outcomes; however, no study has examined feasibility and outcomes of delivering all four unabridged DBT skills modules to this population. Twenty participants attended weekly DBT skills classes for 6 months, where they acquired skills in mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. There were significant pre-post improvements for emotion dysregulation, stress reactivity, and various interpersonal outcomes; there were no significant changes in depression or anxiety. These results suggest that DBT skills may be effective at improving broad clinical domains in a sample of family members of individuals with behavioral problems. This research is the first step in demonstrating that DBT skills might benefit family members of patients with heterogeneous mental health problems and, therefore, fits in to the field’s growing interest in cost-effective transdiagnostic interventions.     

ADHD and Grief: Diagnosis and Differentiation at One Federally Qualified Health Center

Family physicians provide medical care including diagnosis for children experiencing loss and grief. The cognitive impact of loss includes poor attention and concentration, suggestive of attention deficit hyperactivity disorder (ADHD). Our study examined this phenomenon in a community health center (CHC) utilizing physicians’ surveys and a medical record audit of 378 children diagnosed with ADHD during a three-year period. Results identified ambiguous loss and trauma resulting from family instability, absent parent, domestic violence, abuse, and foster care, often unrecognized by physicians as producing grief accompanied by attention and concentration problems. Findings suggest exploration of repeated ambiguous losses in children with ADHD.     

Differences in the neural mechanisms of selective attention in children from different socioeconomic backgrounds: an event‐related brain potential study

Previous research indicates that children from lower socioeconomic backgrounds show deficits in aspects of attention, including a reduced ability to filter irrelevant information and to suppress prepotent responses. However, less is known about the neural mechanisms of group differences in attention, which could reveal the stages of processing at which attention deficits arise. The present study examined this question using an event‐related brain potential (ERP) measure of selective auditory attention. Thirty‐two children aged from 3 to 8 years participated in the study. Children were cued to attend selectively to one of two simultaneously presented narrative stories. The stories differed in location (left/right speaker), narration voice (male/female), and content. ERPs were recorded to linguistic and non‐linguistic probe stimuli embedded in the attended and unattended stories. Children whose mothers had lower levels of educational attainment (no college experience) showed reduced effects of selective attention on neural processing relative to children whose mothers had higher levels of educational attainment (at least some college). These differences occurred by 100 milliseconds after probe onset. Furthermore, the differences were related specifically to a reduced ability to filter irrelevant information (i.e. to suppress the response to sounds in the unattended channel) among children whose mothers had lower levels of education. These data provide direct evidence for differences in the earliest stages of processing within neural systems mediating selective attention in children from different socioeconomic backgrounds. Results are discussed in the context of intervention programs aimed at improving attention and self‐regulation abilities in children at‐risk for school failure.     

Factor structure of the Condoms Barriers Scale with a sample of men at high risk for HIV

This study assesses the psychometric properties of the Condom Barriers Scale (CBS), an instrument originally designed to measure women's perceptions and attitudes regarding male condom use, with a sample of men at high risk for human immunodeficiency virus (HIV). Participants include 590 male patients in drug abuse treatment involved in a gender-specific HIV prevention intervention for teaching safer sex skills. Second-order confirmatory factor analysis generally supported the underlying four-factor subscale structure of the CBS. However, exploratory factor analysis revealed a few specific discrepancies in the factor structure between men and women. Internal consistency and test-retest reliability estimates were moderate to high in value. CBS scores correlated with use of condoms for men with high-risk sexual partners, supporting criterion-related validity. Overall, the analysis indicates that the CBS is a potentially valid and reliable instrument and has utility for assessing barriers to condom use with men, but may need some item content modifications to allow appropriate assessment of gender differences and comparisons across studies.