Psychodynamic psychotherapy for children and adolescents: a critical review of the evidence base

For many years psychoanalytic and psychodynamic therapies have been considered to lack a credible evidence-base and have consistently failed to appear in lists of ‘empirically supported treatments’. This study systematically reviews the research evaluating the efficacy and effectiveness of psychodynamic psychotherapy for children and young people. The researchers identified 34 separate studies that met criteria for inclusion, including nine randomised controlled trials. While many of the studies reported are limited by sample size and lack of control groups, the review indicates that there is increasing evidence to suggest the effectiveness of psychoanalytic psychotherapy for children and adolescents. The article aims to provide as complete a picture as possible of the existing evidence base, thereby enabling more refined questions to be asked regarding the nature of the current evidence and gaps requiring further exploration.     

Differential Attention as a Mechanism of Change in Parent–Child Interaction Therapy: Support from Time-Series Analysis

Although many interventions address children’s externalizing behavior problems, negative treatment outcomes remain common. Reasons for success or failure are frequently unclear, due in part to a lack of research identifying treatment change mechanisms. The current study evaluated differential attention as a mechanism of change in Parent–Child Interaction Therapy (PCIT), a treatment for children with externalizing problems. Using sequential coding and time-series analysis, we examined parent–child interactions across treatment for three families. Contrary to hypotheses, child prosocial behaviors and parent skill use held steady or decreased across coaching periods, with the exception of one family, where the parent’s skill use increased during coaching. Partial support was found for the hypothesis that parent differential attention would predict child prosocial behavior in the next minute. These results provide support for differential attention as a mechanism of change, but also demonstrate that this factor is not the only such mechanism.     

Neuropsychological Functioning in Children with Medium Chain Acyl Coenzyme A Dehydrogenase Deficiency (MCADD): The Impact of Early Diagnosis and Screening on Outcome

Children with medium chain acyl coenzyme A dehydrogenase deficiency (MCADD) have been reported to be at high risk for neurocognitive deficits. However this has not been systematically studied and little is known about the exact nature of neuropsychological sequelae or of the impact of early diagnosis and screening on outcome. We examined cognitive and adaptive outcome in children with MCADD (N?=?38, age range: 2 years, 2 months – 10 years, 3 months) diagnosed either through a newborn screening program (tandem mass spectrometry/MSMS) or upon clinical presentation. There was no evidence of overall intellectual impairment in either groups but there was some suggestion of poorer verbal and specific executive functioning (i.e., planning) abilities in the unscreened cohorts. Adaptive functioning was relatively intact with the exception of reduced Daily Living Skills in both our screened and unscreened groups. Early diagnosis and greater number of hospitalizations were related to higher verbal, communication, and socialization skills. Overall, our results highlight the importance of early diagnosis and management for children with MCADD.     

First Impressions: Exploring the Structure of Titles for Nonformal Public Interpretive Programs

ABSTRACT

Visitors considering attending an interpretive program open to the public at a zoo, historic site, park, or museum may have no more information available to them than the title of the program and its location and date. This research investigated how the structure of a program title helped or hindered people from inferring the topic of the program, whether it is for adults or children, level of formality, and interestingness. Ninety-six college students at 2 universities rated 18 titles for interpretive programs on 4 dimensions. Interestingness of the program topic was related to reported intention to attend the program. Being able to infer whether the program was for adults or children and whether it was formal or informal was related to interestingness. Program titles should be strategically constructed as potential program participants make inferences about the program from the title.     

Interpersonal constructs and communicative ability in a police environment: A preliminary investigation

Abstract

This study investigates the relation between indexes of the development of interpersonal construct systems and the qualities of messages generated in response to persuasive tasks within the context of an urban police force. Hypotheses assuming that length of service as a line officer would predict less developed construct systems, and that more developed construct systems would predict message strategies that acknowledge the unique qualities of receivers found general support. In addition, the possibility of further relations between length of service and message variables was explored, but no substantial evidence was found for such effects. These results show the importance of environmental influences on construct development, and suggest that interpersonal perception and message behavior functionally adapt to the needs of organizational participation.     

Sole Expression: A Trauma-Informed Dance Intervention

The primary treatment for individuals who have encountered violence and/or abuse is trauma-focused cognitive and behavioral modalities. However, these therapeutic approaches are not always effective for youth who have encountered this type of trauma. Trauma is often communicated through the body via physical ailments, particularly when words are insufficient to capture an individual’s experience or when adequate processing of the trauma is not possible due to profound stress. Dance offers an alternative form of therapy that can address “where” the trauma is held, relieve tension, and restore a sense of ownership with one’s body and mind. In this article, we discuss the development of Sole Expression, a trauma-informed hip-hop dance program for youth who have experienced abuse and/or exposure to violence. We provide an overview of establishing the team, securing funding, trauma training, program curriculum, and the related research. We conclude with recommendations for best practices that benefit both practitioners and the young people served.     

An exploration into the influence of academic and social values, procrastination, and perceived school belongingness on academic performance

The results of a structural equation model showed that a tendency to procrastinate, assessed early in college students’ first term, was positively related to social values, assessed as concerns over social exclusion, but was negatively related to academic task values and grade goal-setting. The results suggest that procrastination may be a partial mediator of the influence of academic and social values on perceived school belongingness. In addition, the tendency to procrastinate had a direct negative relationship with self-regulatory self-efficacy and perceived school belongingness and was positively related to perceived stress near the end of the term. There was also a statistically significant negative total effect of procrastination on performance-approach and mastery-approach goal orientation and end-of-term grade point average (GPA). Statistically significant positive total effects of performance-approach and mastery-approach achievement goal orientations on GPA were found. However, while a statistically significant direct positive effect of performance-approach orientation on GPA was found, a direct relationship between mastery-approach orientation and GPA was not statistically significant.     

Elevation easier than plan for sighted and early-blind adults in a perspective-taking task

Plans show shapes of objects from above, and represent both their left–right order and their order in the z-dimension (the distance of the objects). Elevations show only the vertical shapes of objects arranged from left to right. Plans, having more spatial information, may be more difficult for participants to construct. Results from a study with sighted, sighted-blindfolded, and early-blind participants on Piaget's perspective-taking three-mountain task support this hypothesis. The plan task was judged more difficult than the elevation task even when participants performed with the same level of accuracy on both tasks. In visual and tactile tasks, amount of spatial-order information may determine difficulty, rather than plan versus elevation per se.     

The influence of parafoveal typographical errors on eye movements in reading

Three experiments are reported, examining the effects of a typographical error in parafoveal vision on aspects of foveal inspection time and saccade targeting. All the experiments involved reading for comprehension. A contingent presentation procedure ensured that typographical errors were restored to their correct form before they were viewed in foveal vision: They were never available for foveal processing. In Experiment 1, the error was formed by replacing the first letter of the target word with a second occurrence of its second letter, producing an illegal nonword. This manipulation had no significant effect on foveal inspection time, but lowered the probability that a short word (“de” or “du”) prior to the target would be skipped. In Experiment 2 the familiarity of the target's initial letters was maintained constant across conditions. This manipulation removed the target 1 skipping effect, suggesting that the outcome of Experiment 1 was due to orthographic rather than lexical illegality, but revealed shorter foveal inspection times as a function of the presence of the error. Experiment 3 manipulated lexical and sublexical properties of the parafoveal typing error. Properties of the parafoveal error again influenced prior foveal inspection times. The pattern of results suggested that the determining properties were sublexical rather than lexical. The results as a whole are incompatible with a view of information processing in reading in which foveal processing remains immune from concurrent parafoveal influences.