Child Behavior Problems Related to Inconsistency and Average Negativity in Mother–Child Conflict Characteristics: The Mediating Role of Parenting Stress

Journal of Child and Family Studies - We examined the mediating effect of parenting stress on the association between children’s internalizing and externalizing behaviors and mothers’...     

Exploring sudden gains in behavioral activation therapy for Major Depressive Disorder

Understanding the onset and course of sudden gains in treatment provides clinical information to the patient and clinician, and encourages clinicians to strive for these sudden clinical gains with their patients. This study characterizes the occurrence of sudden gains with Behavioral Activation (BA; Martell, Addis, & Jacobson, 2001), and the extent to which pre-treatment dysfunctional depressive thinking predicts sudden gains during treatment. We enrolled a sample of adults (n = 42) between ages 18-65 diagnosed with primary Major Depressive Disorder. All participants completed a 16-week course of BA, with clinical and self-report assessments at pre-, mid- and post-treatment. Results indicated that sudden gain and non-sudden gain participants showed differential improvement across treatment. No significant effects emerged for the dysfunctional cognitive style as a predictor of sudden gain status. Sudden gains may result from interaction of non-specific factors with the BA techniques implemented during early phases of therapy.     

Pacemaker deactivation: withdrawal of support or active ending of life?

In spite of ethical analyses assimilating the palliative deactivation of pacemakers to commonly accepted withdrawings of life-sustaining therapy, many clinicians remain ethically uncomfortable with pacemaker deactivation at the end of life. Various reasons have been posited for this discomfort. Some cardiologists have suggested that reluctance to deactivate pacemakers may stem from a sense that the pacemaker has become part of the patient??s ??self.?? The authors suggest that Daniel Sulmasy is correct to contend that any such identification of the pacemaker is misguided. The authors argue that clinicians uncomfortable with pacemaker deactivation are nevertheless correct to see it as incompatible with the traditional medical ethics of withdrawal of support. Traditional medical ethics is presently taken by many to sanction pacemaker deactivation when such deactivation honors the patient??s right to refuse treatment. The authors suggest that the right to refuse treatment applies to treatments involving ongoing physician agency. This right cannot underwrite patient demands that physicians reverse the effects of treatments previously administered, in which ongoing physician agency is no longer implicated. The permanently indwelling pacemaker is best seen as such a treatment. As such, its deactivation in the pacemaker-dependent patient is best seen not as withdrawal of support but as active ending of life. That being the case, clinicians adhering to the usual ethical analysis of withdrawal of support are correct to be uncomfortable with pacemaker deactivation at the end of life.     

Spatial affect learning restricted in major depression relative to anxiety disorders and healthy controls

Detecting and learning the location of unpleasant or pleasant scenarios, or spatial affect learning, is an essential skill that safeguards well-being (Crawford & Cacioppo, 2002). Potentially altered by psychiatric illness, this skill has yet to be measured in adults with and without major depressive disorder (MDD) and anxiety disorders (AD). This study enrolled 199 adults diagnosed with MDD and AD (n=53), MDD (n=47), AD (n=54), and no disorders (n=45). Measures included clinical interviews, self-reports, and a validated spatial affect task using affective pictures (IAPS; Lang, Bradley, & Cuthbert, 2005). Participants with MDD showed impaired spatial affect learning of negative stimuli and irrelevant learning of pleasant pictures compared with non-depressed adults. Adults with MDD may use a “GOOD is UP” heuristic reflected by their impaired learning of the opposite correlation (i.e., “BAD is UP”) and performance in the pleasant version of the task.     

Imagery and strength of craving for eating,drinking, and playing sport

The elaborated intrusion (EI) theory of desire (Kavanagh, Andrade, & May, 2005) attributes the motivational force of cravings to cognitive elaboration, including imagery, of apparently spontaneous thoughts that intrude into awareness. We report a questionnaire study in which respondents rated a craving for food or drink. Questionnaire items derived from EI theory formed a single factor alongside factors for anticipated reward/relief, resistance, and opportunity. In a multiple regression predicting strength of craving, the first three factors accounted for 36% of the variance. Opportunity did not enter the model. In a second study, the difference between individuals’ strong and weak cravings to take part in a sporting activity was shown to be related to visual, auditory, and general imagery, and to anticipated reward or relief from engaging in the activity. Implications for treatment of craving-related disorders are discussed in the light of these results and of other research indicating that interference with imagery can reduce the strength of craving.     

Topless dancers: Managing stigma in a deviant occupation

This paper describes and analyzes how topless dancers manage the stigma related to their deviant occupation. It represents approximately nine months of limited participant observation and ethnographic interviewing at seven topless bars in a major metropolitan city in the Southwest with a population of approximately 1 million people. A structured interview schedule was utilized to obtain data from over 40 topless dancers in six different clubs. In addition, free‐flowing interviews were conducted with at least 20 other dancers, numerous waitresses in the clubs, one club manager, two assistant managers, and four former dancers still associated with the clubs (as bartenders, waitresses, or admission takers). This study indicates that two of the most common stigma management techniques used by topless dancers are dividing the social world as outlined by Goffman (1963) and techniques of neutralization described by Sykes and Matza (1957), especially denial of injury, condemnation of the condemners, and appeal to higher loyalties. Dancers further rationalize their participation in a deviant occupation on the basis that it is harmless, temporary, fun, good exercise, and easy money. Suggestions are made for future research on topless and nude dancing and stigma management.     

Discerning the spirit(s) in the natural world: Toward a typology of “spirit” in the religion and science conversation

Recent developments in Christian theological thinking on the doctrine of the Holy Spirit (pneumatology) have raised questions about the relationship between “spirit” and science. Cursory review of the religion and science literature, however, yields a wide array of uses and understandings of the concept of spirit. Current attempts to assess the relationship of pneumatology to science require an inventory or basic classification scheme of the various notions of spirit that have been in circulation over the past generation. This essay presents a preliminary typology of such uses in order to enable scholars and researchers to chart courses for future research in this area.     

A personal reaction to freud's paper ‘on beginning the treatment’

Abstract

Sometimes, when reading Freud, I imagine I hear the sound of far-off warning bells tolling their alarm somewhere deep in my mind. I feel as if I am experiencing a great sense of danger, as if I am a child being led by the hand into a confusing, directionless, murky wood by an adult who appears to know the way, yet whom I do not quite trust to keep hold of my hand. It is as if, although I read the decrepit, over-grown sign at the edge as we advanced under the eaves: proceed with caution: at risk of losing touch with reality, I was hurried quickly past by the firm grip of the Omnipotent Adult who plunged straight in, and whose knowledge I do not altogether credit. So, for me, reading some of Freud's papers has a distinctly nightmarish quality, an atmosphere of being slightly out-of-control, an unnerving feeling of being in severe danger of being sucked in.     

Multiple Child Food Hypersensitivity Impacts Positive Adjustment in Parents

The physical impacts of food hypersensitivities (e.g. food allergy, food intolerance) encompass wide ranging but individually specific reactions. In contrast, the psychological impact of such illnesses extends beyond the individual who suffers the sensitivity. No Australian studies have examined the psychosocial impact of parenting a child with food hypersensitivities. The aim of this study was to ascertain differences in the psychosocial profile of parents raising a food hypersensitive child. Australian parents were targeted through three national support organisations and answered questions regarding their psychological health. Of a total of 990 respondents, 599 had children. These families comprised 1316 children aged 0–18 (M?=?7.63 years) and more than half (n?=?393) of these families were managing a child with a food hypersensitivity. Parents showed no differences in measured distress. In contrast, positive adjustment was higher for parents of food intolerant children and children with both food allergy and food intolerance, compared to those with non-food hypersensitive children. Moreover parents of children with combined food hypersensitivities reported a greater degree of positive change. The finding that parents of food hypersensitive children were not reporting higher levels of stress than parents without a food hypersensitive child is in stark contradiction to international studies examining both food hypersensitivity and parents of children with a chronic disease more generally. However, it appears that the complexity of the food hypersensitivity had a positive impact on adjustment with parents of children with multiple types of food hypersensitivity reporting greater positive adjustment outcomes.