Challenges of home visitor interventions with adolescent mothers and their infants

Issues in designing a home visitor intervention and research program for 130 adolescent mothers, 17 and under, and their infants from birth to 30 months are discussed. The overall project is described, and various aspects of creating and maintaining a home visitor intervention program are discussed, including: (1) Issues and problems that arise with the integration of a home visitor intervention component into an ongoing health department program; (2) the recruitment and training of lay home visitors in the context of arduous, often disheartening work; (3) issues of supervision and quality control faced by the mental health consultants; (4) coping with potential stresses and dangers faced by the home visitors; (5) assisting and maintaining maximum communication for the research components of the study to be successful.     

论公共行政管理的伦理基础——一个公共伦理分析视角

当代中国正处在以城市化为主导的社会转型的关键时期,社会出现了种种不协调,需要相应价值尺度来引导。行政管理本身不是最终目的,它是传达人民的需求与愿望,并保证这些需求和愿望能够通过国家控制反映出来。长期以来,行政管理学界高扬效率、忽视伦理的主题定位,在一定程度上阻碍了行政管理学研究向纵深领域的发展。公共行政管理从产生时起就与某种伦理价值观相联系;公共行政管理的主要伦理规范有公益至上、有害不为、慎用权力、社会责任、平等竞争、增进信任。这些规范为公共行政管理奠定了伦理基础。     

Anger regulation in disadvantaged preschool boys: strategies, antecedents, and the development of self-control

Emotion regulation strategies observed during an age 3 1/2 frustration task were examined in relation to (a) angry affect during the frustration task, (b) child and maternal characteristics at age 1 1/2, and (c) indices of self-control at age 6 in a sample of low-income boys (Ns varied between 189 and 310, depending on the assessment). Shifting attention away from sources of frustration and seeking information about situational constraints were associated with decreased anger. Secure attachment and positive maternal control correlated positively with effective regulatory strategy use. Individual differences in strategy use predicted self-control at school entry, but in specific rather than general ways: Reliance on attention-shifting strategies corresponded with low externalizing problems and high cooperation; reliance on information gathering corresponded with high assertiveness.     

Movement substructures change as a function of practice in children and adults

An experiment is reported in which participants at 6 (n = 20), 9 (n = 20), and 24 years (n = 20) of age either received or did not receive practice on a rapid aiming task using the arm and hand. The purpose of the experiment was to document the changes in movement substructures (in addition to movement time) as a function of practice. After receiving 10 baseline trials, subjects in the practice groups received 30 practice trials followed by 10 retention trials on each of 5 days, while subjects in the no-practice group had only baseline and retention trials. Retention-only trials were divided into primary (reflecting the ballistic controlled part of the movement) and secondary (reflecting corrective movement adjustments) submovements. In addition, jerk (the 3rd derivative of movement displacement) was calculated as an estimate of the smoothness of the movement. Participants increased the primary submovement as a function of practice; however, the increases were substantially larger in the children (25-30%) than in the adults (10%). Participants also decreased jerk as a function of practice and the decreases were greater in children than in adults. The results suggest that with practice the primary submovement is lengthened so that it ends nearer the target, especially in children. Associated with the primary submovement covering a larger percentage of the movement length and time, movements became smoother.     

Comparison of the Trail Making and Color Trails Tests in a Chinese context: a preliminary report

The Color Trails Test developed as a culturally fair analogue of the Trail Making Test, was used to examine the relationship between the two tests with 35 undergraduate Chinese in Hong Kong recruited as the subjects. The scores on these two tests of the 12 men and 23 women were significantly correlated .71. The equivalence of the Trail Making and Color Trails Tests when applied to Chinese in Hong Kong was discussed.     

Self-concepts of hospitalized and day-care psychiatric patients

The authors administered questionnaires to 44 hospitalized and 55 day-care psychiatric patients in Hong Kong. The groups were similar in sex, age, and education. The hospitalized participants, compared with the day-care participants, showed significantly higher self-concepts in general as well as in the particular aspects of social and personal aspirations. The findings indicate that support at the community level is important to help the psychiatric patients' transition from hospital care to day care.     

A multivariate analysis of an experimental design involving a complete set of latin squares

A model for an experimental design involving a complete set of Latin squares for testing the homogeneity of treatment effects was constructed and analyzed by Gourlay. In his analysis, however, if one or both of the preliminaryF-tests are significant, the analysis cannot differentiate. He then suggests the use of a less desirable test which is biased and has fewer degrees of freedom, regardless of the number of replications (the d.f. cannot be increased by increasing the replications). Further, when heterogeneity of variance occurs, Gourlay's test procedures are in general invalid. The present paper reviews Gourlay's analysis and proposes a modified test procedure.My thanks are due to Drs. R. S. Hirsch, R. L. Erdmann, and R. M. Simons of IBM Corporation for many stimulating discussions, and to Professor D. Teichroew of Stanford University for permission to refer to his paper [6] and his assistance. I also wish to thank B. A. Snyder for correcting many linguistic mistakes.     

Art, dreams and active imagination: a post-Jungian approach to transference and the image

The term active imagination is sometimes applied rather uncritically to describe all forms of creative activity that take place in depth psychology. Whilst there are many forms of expression that evoke or are evoked by active imagination, they cannot automatically be classed as active imagination. In this article investigation of visualized mental imagery, dreams and art reveals three distinct forms of image-based psychological activity. Integrated and mediated within the transference and countertransference dynamic, it is proposed that the engagement in active imagination reflects and is influenced by the transference. Distinctions between sign and symbol, simple and big dreams as well as diagrammatic and embodied imagery clarify the differences. Examples from clinical practice demonstrate each mode in action within the analytic frame.     

Characteristics of suicide attempters and nonattempters with schizophrenia in a rural community

In this study, demographic and clinical characteristics of individuals with schizophrenia in a Chinese rural community who had attempted suicide at some time in their lives and those who had not made a suicide attempt were compared. Among individuals with schizophrenia, subjects with (n = 38) and without (n = 472) a lifetime history of suicide attempt were assessed with the Present State Examination. The results indicate that attempters had a significantly younger age, higher level of education, higher rate of lifetime depressed mood and hopelessness, and a larger number of positive symptoms than patients without suicide attempts. The logistic regression models also indicated that hopelessness, the number of positive symptoms and age were the most important predictors. Early interventions focusing on reducing hopelessness and controlling positive symptoms may help reduce the risk of suicide attempts among patients with schizophrenia.