Termination of Mental Health Services for Children

In this paper, we examine the termination of children's mental health services. Analyses were based on the 901 families in the Fort Bragg Evaluation Project who participated at Wave 1 and Wave 2 six months later. The project compared a full continuum of care provided at a demonstration site with traditional care at two comparison sites. The results showed that in most cases families and providers were partners in decisions to terminate treatment. About half of the clients self-terminated or were terminated solely at the discretion of the provider. Providers tended to play a more dominant role in terminating restrictive services; families played a more central role in terminating outpatient care. Regardless of initial psychopathology, children in single-headed households, whose parents were dissatisfied with services, did not expect their child to cooperate with treatment and did not expect treatment to help their child, were more likely to terminate care than others. While the Demonstration site had significantly fewer terminations, the sites did not differ with regard to the reasons for termination, who participated in termination decisions, or the factors that affected the likelihood to terminate care. Of most interest, mental health outcomes among children who had terminated all care did not vary by reasons for termination or by who participated in the termination decision.     

The Use of Contextual Information by Right Brain-Damaged Individuals in the Resolution of Ambiguous Pronouns

Two experiments were conducted with the primary purpose of investigating the ability of right brain-damaged (RBD) individuals to use contextual information—at the level of the single sentence, in terms of the integration of information between clauses, and at the level of a minimal discourse (i.e., two sentences)—in the resolution of ambiguous pronouns. The investigation was extended to a group of left brain-damaged (LBD) and non-brain-damaged (NBD) individuals. Contrary to the prevailing view that RBD patients have difficulty in the use of contextual information to process language, both experiments were consistent in demonstrating that the RBD group was influenced by contextual information in a manner similar to that demonstrated by both the LBD and NBD groups.     

CLASSWIDE PEER TUTORING: AN INTEGRATION STRATEGY TO IMPROVE READING SKILLS AND PROMOTE PEER INTERACTIONS AMONG STUDENTS WITH AUTISM AND GENERAL EDUCATION PEERS

A multiple baseline design across subjects with a reversal was used to examine the effects of classwide peer tutoring relative to traditional reading instruction on reading skills and social interaction time for 3 high-functioning students with autism and their typical peers in integrated, general education classrooms. Traditional reading instruction consisted largely of teacher-led instruction with individual student participation and seat work. Classwide peer tutoring consisted of 25 to 30 min of well-specified instruction in which tutor—learner pairs worked together on a classwide basis on reading fluency and comprehension skills. All students participated in 15- to 20-min unstructured free-time activities immediately following reading instruction. Results of reading assessments demonstrated that classwide peer tutoring increased reading fluency and correct responses to reading comprehension questions for students with autism and their peers. The procedure further increased the total duration of free-time social interactions for students with autism and typical peers, with individual variation in performance.     

“mother is not holding competely respect”: Making social sense of schizophrenic writing

This paper provides a phenomenological account of the writing of a young woman diagnosed with schizophrenia. The method of interpretation is to put ourselves in the place of the author drawing upon a combination of sympathy, reason, common-sense, experience, and “an intersubjective world, common to us all” (Schutz, 1945: 536). The result is the recognition of the person as also capable of putting herself in the place of others so as to understand their behavior. This “role-taking success” identifies the limits of the current sociological understanding of insanity's significance in social interaction as an instance of “role-taking failure” (Rosenberg, 1992). The very appearance of a piece of writing often permits one to recognize the presence of schizophrenia. The use of space may be quite bizarre. The varying margins betray the writer's changing mood. The letter may start at the bottom or side of the paper or very close to the top .... Capital letters and all letters are employed without any apparent rules, the former even in the middle of a word. (Bleuler, 1950: 159) What we want to understand is not something hidden behind the text, but something disclosed in front of it. (Ricoeur, 1971: 557) Why do we need an art of guessing? Why do we have to “construe” the meaning? Not only — as I tried to say a few years ago — because language is metaphorical and because the double meaning of metaphorical language requires an art of deciphering which tends to unfold the several layers of meaning.... [But also] because [a text] is not a mere sequence of sentences, all on an equal footing and separately understandable. A text is a whole, a totality. (Ricoeur, 1971: 548)     

MATERNITY LEAVE AND WOMEN'S MENTAL HEALTH

The Wisconsin Maternity Leave and Health Study addresses an important policy issue, parental leave, by investigating the work status, maternity leave, and mental health of 570 women. In the longitudinal design, the women, all of whom were living with a husband or partner, were interviewed during the fifth month of pregnancy, 1 month postpartum, and 4 months postpartum. At 4 months postpartum, full-time workers, part-time workers, and homemakers did not differ in depression or anger, but full-time workers showed elevated anxiety compared with the other two groups. In multiple regression analyses, length of leave interacted significantly with marital concerns when predicting depression; women who took a short leave (6 weeks or less) and were high on marital concerns had the highest depression scores. Short maternity leave can be conceptualized as a risk factor that, when combined with other risk factors such as marital concerns, places women at greater risk for depression.     

Differences in influence between pitched-from-vertical lines and slanted-from-frontal horizontal lines on egocentric localization

The visual field exerts powerful effects on egocentric spatial localization along both horizontal and vertical dimensions. Thus, (1) prism-produced visual pitch and visual slant generate similar mislocalizations of visually perceived eye level (VPEL) and visually perceived straight ahead (VPSA) and (2) in darkness curare-produced extraocular muscle paresis under eccentric gaze generates similar mislocalizations in VPEL and VPSA that are essentially eliminated by introducing a normal visual field. In the present experiments, however, a search for influences of real visual slant on VPSA to correspond to the influences of visual pitch on VPEL failed to find one. Although the elevation corresponding to VPEL changes linearly with the pitch of a visual field consisting of two isolated 66.5°-long pitched-from-vertical lines, the corresponding manipulation of change in the slant of either a horizontal two-line or a horizontal four-line visual field on VPSA did not occur. The average slope of the VPEL-versus-pitch function across 5 subjects was +0.40 over a ±30° pitch range, but was indistinguishable from 0.00 for the VPSA-versus-slant function over a ±30° slant range. Possible contributions to the difference between susceptibility of VPEL and VPSA to visual influence from extraretinal eye position information, gravity, and several retinal gradients are discussed.     

The mediating role of anxiety in self-reported somatic complaints of depressed adolescents

This study examined the mediating role of anxiety in the self-reports of somatic complaints in 96 depressed adolescent inpatients. Sixty-four subjects with major depressive episodes and comorbid anxiety disorders (MDE-A) determined from the Diagnostic Interview for Children and Adolescents-Revised (DICA-R) reported significantly more somatic complaints than 32 adolescents having major depressive episodes without comorbid anxiety (MDE). An analysis of covariance demonstrated that, with anxiety symptoms controlled, MDE and MDE-A groups did not differ significantly in somatic complaints. A hierarchical multiple-regression analysis revealed that, with demographic and anxiety symptoms controlled, depressive symptoms did not contribute to the explanation or prediction of somatic complaints. The results suggest that anxious, but not depressive symptoms, are independently associated with somatic complaints. The results are discussed in light of new affective models of psychopathology.     

CONSTRUCT ACCESSIBILITY AND THE MISATTRIBUTION OF AROUSAL:

Abstract— Schachter and Singer (1962) showed that people search the immediate environment for emotionally relevant cues to label and interpret unexplained physiological arousal We investigated how unobtrusively activated cognitions and physiological arousal interact to produce emotional experience when the immediate environment is devoid of relevant cues Subjects were primed with positive, negative, or neutral concepts They then either exercised or sat still and, either immediately or after a delay, rated their emotional state Consistent with what Schachter and Singer found, subjects in the exercise, delayed-rating condition, who lacked an obvious explanation for their arousal, made the most extreme affective self-ratings, which were consistent with the valence of the primed concepts These subjects apparently interpreted their residual arousal in terms of the primed concepts Subjects in the exercise, immediate-rating condition, who had an explanation for their arousal (i e, the exercise), were not influenced by the primes Subjects in the no-exercise condition showed typical priming effects, with prime-consistent self-ratings that decayed over time Implications for emotion formation, misattnbution of arousal, and cognition are discussed     

Accreditation Standards for University and College Counseling Centers

The accreditation standards outlined in the article are used by the International Association of Counseling Services, Inc., as the basis for the formal accreditation of college and university counseling programs throughout the United States and Canada. They reflect the program elements and practice standards that are deemed essential in a counseling center that provides high-quality services to students.     

Temporal discounting and preference reversals in choice between delayed outcomes

Subjects chose between pairs of hypothetical amounts of money available after different delays. When smaller, more immediate amounts were selected over larger, more delayed amounts, the addition of a constant delay to both outcomes resulted in reversals of preference, contrary to the standard discounted utility model of economics. The delays at which preference reversed were determined for three pairs of amounts ($20 vs. $50, $100 vs. $250, and $500 vs. $1,250). The relation between the delay to the larger amount and the delay to the smaller amount at preference reversal was well fit by both linear and quadratic functions. Intercepts increased with amount, strongly suggesting that rate of discounting decreases with amount. The presence of significant negative curvature in the data from the majority of individual subjects poses problems for exponential and hyperbolic models of temporal discounting in self-control, both of which predict a linear relation between the delays to the larger and smaller amounts.