Assessing depression in community samples of children using self-report inventories: Ethical considerations

Although the methodological problems associated with the use of children's self-report depression inventories have previously been discussed in detail, the ethical problems related to the use of these instruments have been largely ignored. The primary purpose of this survey study was to determine how childhood depression researchers have prepared for and responded to children from community (i.e., nonclinic) samples whose nonanonymous scores on self-report depression inventories have indicated that they might be severely depressed or suicidal. Several recommendations, based upon (a) the results of this survey study, (b) the existing literature relevant to the ethical responsibilities of investigators who conduct research with children, and (c) our own experiences with these instruments and populations, are made to assist researchers in their attempts to use these inventories in an ethical manner.The authors would like to thank those childhood depression researchers who were kind enough to return completed surveys.     

Effects of treatments and their outcomes on peer perceptions of a hyperactive child

In an exploration of the social impacts of treatments for hyperactivity, two age groups (kindergarteners and first-graders vs. fourth- and fifth-graders) heard about a hyperactive child whose problem was treated either by an internal and controllable means (effort) or by an external and uncontrollable means (medication) and whose behavior either did or did not improve. The attributions and affective responses of both age groups were influenced by both the nature and the effectiveness of treatment, and there was only weak support for the hypothesis that younger children are more influenced by treatment outcome than older children are. However, older children, conforming to attribution theory predictions, held target children more accountabe for the success or failure of their own efforts than for the outcomes of medication, particularly valuing the child whose own efforts succeeded. By contrast, young children judged the child whose efforts failed as more worthy of pride and more likable than the child whose medication failed. Implications for peer acceptance of hyperactive children over the childhood years are discussed.Portions of this paper were presented at the annual meeting of the Southeastern Psychological Association, Atlanta, March 1985. Thanks are extended to the staff and students of the Model Laboratory School.     

Social and solipsistic observer training: Effects on agreement with a criterion

The need to train accurate, not necessarily agreeing, observers is discussed. Intraobserver consistency as an intermediate criterion in such training is proposed and contrasted with the more familiar criterion of interobserver agreement. Videotaped observations of social interactions between handicapped and nonhandicapped preschoolers provided the medium for examining the criterion agreement of four observers trained against each type of standard. Observers generally failed to show high levels of criterion agreement whether trained to a within- or to a between-observer agreement standard. The results varied somewhat with the frequency of behaviors, however. Correlations between interobserver agreement and intraobserver consistency were variable but somewhat higher when interobserver agreement was the training criterion than when intraobserver consistency was the criterion. Correlations between interobserver agreement and criterion agreement ranged from — .16 to .89 during interobserver agreement training. Correlations between intraobserver consistency and criterion agreement ranged from — .23 to .99 during intraobserver consistency training.     

Norms for employed daughters' and sons' behavior toward frail older parents

This study examined whether norms that concerning assisting frail older parents were different for daughters than for sons when the adult children are members of dual-earner couples. Data were gathered by telephone interviews from a probability sample of 315 adults residing in western Alabama. Of the 18 statements presented, statistically significant differences between the expectations for daughters and sons occurred in only three cases (help with housework, meal preparation, and yard work), suggesting substantial support for norms of equalitarianism. Further, there were few differences between the expectations held by females and by males for daughters and sons. Generally, the results suggested strong support for behaviors that facilitate the independent living of both adult children and their frail older parents.The authors acknowledge with thanks the assistance of the University of Alabama's Capstone Poll, which collected the data for this study.     

Family therapy of school-focused problems: A macrosystemic perspective

School-focused problems present an interesting challenge to family therapists in that they take place in a system outside of the family. Treating the family without including the school often leads to a poor outcome. This article presents a macrosystemic model of treatment which views the family and school as an interacting system that maintains the ongoing problem. The therapist intervenes in this larger system by separately treating the family and school, then rejoining them to create a more functional working relationship.     

Accident reduction through stress management

The deleterious effects of occupational stress on worker health and well-being have been described in numerous reports for a wide range of work groups. Work overload (and underload), deadline pressures, role Stressors, underutilization of abilities, and physical discomfort have been identified as work factors associated with increased stress symptom reporting. The relationship between work stress and accident/injury occurrences is less clearly documented, although scattered reports in the literature suggest a contributory role for stress in the accident process. In this article, data linking stress to unsafe work behavior are reviewed and a model is proposed wherein accidents can arise from impaired worker capabilities (e.g., slower reaction time) brought about by stress symptom activity (e.g., anxiety). The potential usefulness of stress management training (SMT) for shortcircuiting the stress/accidents cycle by alleviating stress symptoms is discussed in light of recent empirical research.Portions of this article were presented at the Third Annual Scientist/Practitioner Conference in Industrial/Organizational Psychology, Virginia Beach, Virginia, October, 1982.     

Integration: A coming of age

Integration is one of the most prevalent contemporary themes in the field of family therapy. This discussion proposes a process-based model of integration which transcends theoretical content. A brief review of integrative efforts in the field of marriage and family therapy is followed by an exploration of issues related to theoretical content. A model for understanding the personal process of integration is developed which articulates a five stage process of integration. Finally, after a brief character development to illustrate the different stages, some initial implications for a process-based model of integration are explored.David J. Moultrup, MSW, LICSW, is in private practice in Arlington, Massachusetts.     

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