Evaluation of Peer Training for Teaching Abduction Prevention Skills

Child abduction is a serious problem, with approximately 100 children killed each year by nonfamily abductors. Training programs to teach children the correct skills to use if they ever come into contact with a stranger can be effective when they incorporate behavioral skills training (BST) and in-situ training (IST) into their protocol. However, these methods can be rather time and energy consuming. The current study evaluated the effectiveness and efficiency of a peer tutoring approach to teaching abduction prevention skills. Peer trainers implemented BST sessions and IST sessions with their younger peers. Children successfully acquired the target safety behaviors taught by the peer trainers, and use of the skills generalized to their natural environment.     

Measuring Parental Treatment Adherence in a Multimodal Treatment Program for Children with ADHD: A Preliminary Investigation

This study evaluated the clinical significance of measuring between session parental adherence on child and parent outcomes for 51 children (age 4 to 8.5 years) with attention deficit/hyperactivity disorder (ADHD) in a multimodal group training program. Three group treatment conditions: (a) child-only treatment (C1), (c) child and parent training (C2), and (c) C2 + Parent Adherence Measure [PAM (C3)] were compared to assess the clinical significance of measuring parental adherence on child behavioral problems, socialization skills, and parental efficacy. Parents administered the PAM (C3) displayed, in general, better outcomes on child and parent measures than the other two conditions. Results suggest that a multimodal group training program for young children with ADHD is favorable to child group training only. This study offers preliminary support for the clinical utility of measuring parental adherence in a child ADHD multimodal group training program.     

Treatment Outcome for Low Socioeconomic Status African American Families in Parent-Child Interaction Therapy: A Pilot Study

The course and efficacy of parent-child interaction therapy (PCIT) were examined in 18 socioeconomically disadvantaged African American families of preschoolers with disruptive behavior disorders. Mothers reported significant improvements in child disruptive behavior but not in maternal depressive symptoms or parenting stress. Attrition was 56%, most often occurring after pre-treatment assessment but before treatment began. Results suggest that PCIT may lead to positive behavior changes for disadvantaged young African American children when families complete treatment. Recruitment, engagement, and retention remain significant problems requiring further study. Reduction of parenting stress also requires study in this population.     

Erratum

Behavior modification with children has been popularized through television shows such as Super Nanny and Nanny 911. The popularity of these shows may be related to the demand parents have for improving their children's behavior. Interestingly, an approach adopted by The Dog Whisperer may prove effective when used with children. The purpose of this brief review is to summarize how behavior modification with children has been used in the media and to detail the surprisingly large amount of research support for The Dog Whisperer's approach. This article also may be used as a guide for those who interact with children.     

Does Teaching Problem-Solving Skills Matter? An Evaluation of Problem-Solving Skills Training for the Treatment of Social and Behavioral Problems in Children

Problem-solving skills training (PSST) has been proposed as a potentially effective addition to behavioral parent training (PT). However, it is not clear whether PSST specifically increases the benefits provided by PT. In this study, PT + PSST was compared to PT + nondirective therapy in a sample of 26 families. All parents received PT. Following this, children received PSST or nondirective therapy. Outcomes included measures of child behavior problems, social skills, and parent stress at posttherapy and a 6-week follow-up. Children in both groups improved over time with few differences between groups.     

Toward Development of a Projective Set

An exploration of the possibility of developing a projective set in a client that will allow for lowering of his defenses and thus possibly eliciting “richer projective materials.” A “anxious tension” set was produced in one group of Ss by means of an intelligence type test and “playful tension” was produced in another group by means of a fantasy task. A projective technique (Part A of the Rosenzweig F-Battery) was then given to both groups. The results indicate that this projective technique was taken at a more implicit (or deeper) level following the “playful tension” than following the “anxious tension.” Implications for the pre-test environment of projective techniques are given.     

Occupationally Embedded Exercise Versus Rote Exercise and Psychosocial Response in College-Aged Females

Community integration through occupational engagement is an integral tenet of occupational therapy. However, little is known about how pets may assist this process. This study explores community integration through pet ownership as a meaningful, lifelong, occupation for one person with bipolar illness receiving Assertive Community Treatment. Using a case study approach, eight qualitative interviews, as well as observation and analysis of pet photos, were conducted with the mental health consumer and also with members of her social network. Data were analyzed inductively according to the constant comparative approach. The findings reveal that pet ownership assisted the person to counterbalance and move beyond stigma through pets as enablers of: “continuity,” “belonging,” “action and self-construction,” “acceptance,” and “participation.” This process was influenced by the “severity of illness,” “view of community,” and “supports and resources.” The results contribute to our understanding of pet ownership as a means to community integration. The study indicates that to enable persons with a mental illness to engage in pet ownership, occupational scientists need to examine and understand this occupation in the broader context of recovery, health, and well-being. A perspective of pet ownership as meaningful occupation challenges occupational therapists to develop strategies to actively engage clients and their pets in their community.     

Disavowal and assessment for psychotherapy

The concept of disavowal is described and its part in the pathology of a certain group of patients is discussed. Particular emphasis is placed upon the difficulties posed by the pervasive use of this defence mechanism during the assessment of such patients. Clinical vignettes from assessment interviews are presented. The longer-term psychotherapeutic management of these patients is discussed and this is illustrated by clinical material.     

The Gnostic Syndrome: Anorexia nervosa

‘The Gnostic Syndrome’ discusses anorexia nervosa in terms of its poetics and in the context of a developmental object-relations theory. One case is used to illustrate the problems of therapy and the antecedents of the anorexia in childhood and adolescence. The paper forms an investigation into pre-moral states and the interaction of anorexia with character structure.