TOP‐DOWN AND BOTTOM‐UP: THE ROLE OF SOCIAL INFORMATION PROCESSING AND MINDFULNESS AS PREDICTORS IN MATERNAL–INFANT INTERACTION

The cross‐generational transmission of attachment appears to reflect a complex interplay of factors, which have been challenging to identify. The current longitudinal study explored the maternal cognitive model of relationships through language use, maternal mindfulness, and attachment style assessed prenatally, as predictors of maternal response to distress and infant behavior at 6 months’ postpartum. Infant behavior to the mother also was examined to provide an understanding of the evolving relationship. Thirty‐two females were interviewed prenatally regarding social and family experiences. At 6 months’ postpartum, each mother participated in a video‐recorded session where she was asked to teach her infant a developmentally appropriate task. Videos were analyzed using the NCAST Teaching Protocol. Language use prenatally as well as the mindfulness facets (acting with awareness and describing) predicted the mothers’ ability to respond to infant distress, indicating greater attunement. Infant's response to mother and clarity of cues also were predicted by maternal pronoun use. The study highlights the role of internal working models reflective of interpersonal beliefs, cognitive models, and current‐moment awareness in maternal behavior. The effect of maternal language on infant behavior arguably indicates the infant's integration of maternal internal working models.     

Patient Perceptions of Telephone vs. In-Person <Emphasis Type="Italic">BRCA1/BRCA2</Emphasis> Genetic Counseling

Telephone genetic counseling (TC) for hereditary breast/ovarian cancer risk has been associated with positive outcomes in high risk women. However, little is known about how patients perceive TC. As part of a randomized trial of TC versus usual care (UC; in-person genetic counseling), we compared high risk women’s perceptions of: (1) overall satisfaction with genetic counseling; (2) convenience; (3) attentiveness during the session; (4) counselor effectiveness in providing support; and (5) counselor ability to recognize emotional responses during the session. Among the 554 participants (TC, N?=?272; UC, N?=?282), delivery mode was not associated with self-reported satisfaction. However, TC participants found counseling significantly more convenient than UC participants (OR?=?4.78, 95 % CI?=?3.32, 6.89) while also perceiving lower levels of support (OR?=?0.56, 95 % CI?=?0.40–0.80) and emotional recognition (OR?=?0.53, 95 % CI?=?0.37–0.76). In exploratory analyses, we found that non-Hispanic white participants reported higher counselor support in UC than in TC (69.4 % vs. 52.8 %; OR?=?3.06, 95 % CI?=?1.39–6.74), while minority women perceived less support in UC vs. TC (58.3 % vs. 38.7 %; OR?=?0.80, 95 % CI?=?0.39–1.65). We discuss potential research and practice implications of these findings which may further improve the effectiveness and utilization of TC.     

Maternal perinatal mental health: Associations with bonding,mindfulness, and self-criticism at 18 months’ postpartum

The perinatal period is a time of significant transition for women, with changes in maternal mental health from pregnancy to 18 months’ postpartum. This study specifically analyzes maternal self-criticism and mindfulness during pregnancy and at 18 months’ postpartum, and their associations with bonding. A longitudinal study (30 weeks’ gestation–18 months’ postpartum) assessed 32 mother–infant dyads, examining changes in maternal depression, anxiety, self-criticism, and mindfulness. In addition, associations between maternal variables during pregnancy and bonding were investigated. Maternal depression and self-criticism significantly increased from pregnancy to postpartum. Maternal anxiety, self-criticism, and facets of mindfulness during pregnancy were also associated with mother–infant bonding at 18 months. Maternal mental health during pregnancy is subject to change postchildbirth. The lack of control and autonomy accompanying motherhood may result in an increase in self-criticism during this period. Such feelings may elevate a woman's vulnerability to postpartum depression and have consequences for later maternal bonding. Early identification of at-risk mothers is important to increase likelihood of positive outcomes.     

Factors Predisposing Women to Take Precautions Against Breast and Cervix Cancer

The utility of the Theory of Reasoned Action (TRA), the Health Belief Model (HBM), and the Subjective Probability Model (SPM) in a health education diagnosis to discover predisposing factors for performing breast self-examination (BSE) and having a Pap test was explored in a survey of 123 women. Each model was a significant predictor of BSE and Pap test intentions. However, a composite model comprising the TRA's attitudinal and normative components supplemented by the barriers component of the HBM was the most useful in performing a health education diagnosis in relation to breast self-examination and the Pap test. "Psychological relevance" scores of particular beliefs obtained by SPM procedures tended to confirm the TRA's correlational method of identifying primary beliefs that would be the targets of persuasion to change BSE and Pap test intentions.     

Grasping the Nature of Pictures

The role of experience in the development of pictorial competence has been the center of substantial debate. The four studies presented here help resolve the controversy by systematically documenting and examining manual exploration of depicted objects by infants. We report that 9-month-old infants manually investigate pictures, touching and feeling depicted objects as if they were real objects and even trying to pick them up off the page. The same behavior was observed in babies from two extremely different societies (the United States and the Ivory Coast). This investigation of pictures occurs even though infants can discriminate between real objects and their depictions. By the time infants are 19 months of age, their manual exploration is replaced by pointing at depicted objects. These results indicate that initial uncertainty about the nature of pictures leads infants to investigate them. Through experience, infants begin to acquire a concept of "picture." This concept includes the fact that a picture has a dual nature (it is both an object and a representation of something other than itself), as well as knowledge about the culturally appropriate use of pictures.     

A comparison of techniques to increase children's resistance to temptation

This study compared impulsive and reflective children in their ability to benefit from various self-control strategies. While verbal controlling responses were more effective than various non-verbal strategies for both groups, only children identified as impulsive with the MFF responded differentially to various self-controlling strategies. It was also found that age is correlated with both conceptual tempo and the effectiveness of efforts at modifying impulsivity.     

MANAGEMENT OF GERIATRIC INCONTINENCE IN NURSING HOMES

A behavioral management system designed to reduce urinary incontinence was evaluated in two nursing homes with a pretest-posttest control group design with repeated measures. The primary components of the system were prompting and contingent social approval/disapproval which required approximately 2.5 minutes per patient per hour to administer. The frequency of correct toileting for experimental subjects increased by approximately 45%. The experimental groups were significantly different from the control groups on both incontinence and correct toileting measures. The results are discussed in view of the management issues inherent in nursing home settings.     

Personality characteristics of delinquent subtypes

A group of juvenile delinquents, classified as neuroticdisturbed, unsocialized-psychopathic, and socializedsubcultural, were compared on the MMPI. The results provided support for the initial classification and yielded MMPI profiles suggestive of two personality types: a conflicted, weakego delinquent with considerable intrapsychic conflict, and a more traditional psychopathic type, with little apparent anxiety or neurotic symptomatology. These results were replicated with a crossvalidation sample.     

Speed of simple arithmetic in bilinguals

Four types of bilinguals solved simple addition problems that were auditorily presented in their preferred language, the language in which they first learned arithmetic, or in their nonpreferred language. Subjects responded in the language in which the problems were presented. Solution time averaged .227 sec faster in the preferred language and was an increasing linear function of the number of addition operations required. The intercepts of the preferred and nonpreferred language functions significantly differed, but the slopes did not. The preferred language advantage was attributed to faster encoding and/or response times in the preferred language. When bilinguals used only one of their languages in a given experimental session, encoding/response times in the two languages were equivalent and the preferred language advantage was eliminated.