Treating Elders With Compulsive Hoarding: A Pilot Program

Hoarding among elderly clients can have serious health and safety consequences, including death. Because medications and standard behavioral treatments have yielded limited benefits for people with serious hoarding problems, we employed a specialized cognitive behavioral treatment (CBT) based on Frost and colleagues' model of hoarding problems. Of 11 elderly clients who met screening criteria for hoarding at a community mental health center, 6 completed an average of 35 sessions of therapy administered by a B.A.-level therapist trained and supervised in CBT methods. Treatment consisted of weekly home visits that included motivational interviewing, organizing and decision-making skills, cognitive therapy regarding hoarding and related beliefs, and practice sorting, discarding, and not acquiring. Modest improvement was evident in ratings of clutter, risky situations in the home, and functioning. Clients were generally satisfied with treatment. Challenges in treating hoarding in elderly clients include health and safety risks as well as reduced physical capacity that required problem-solving strategies.     

The role of gender in youth mentoring relationship formation and duration

The role of gender in shaping the course and quality of adult-youth mentoring relationships was examined. The study drew on data from a large, random assignment evaluation of Big Brothers Big Sisters of America (BBSA) programs [Grossman, J. B., & Tierney, J. P. (1998). Does mentoring work? An impact study of the Big Brothers Big Sisters program. Evaluation Review, 22, 403-426], and focused on variables associated with youth’s relationships with their parents and mentors. At baseline, girls reported significantly lower levels of parental trust and higher levels of alienation from their parents than boys. Nonetheless, girls’ mentoring relationships lasted significantly longer than those of boys. Moreover, girls were less satisfied than boys in short- and medium-term relationships, but were more satisfied than boys in long-term relationships. Similarly, girls in long-term relationships rated mentoring as more helpful than either the boys or the girls in the shorter-term relationship groups. Particularly in light of the heightened mistrust and alienation from parents at baseline, and the role of improved parent relationships in mediating the effects of mentoring, the protective aspect of longer-lasting mentoring relationships may be particularly salient for girls.     

Dimensionality of subscales for emotional support in the Bosch Support Measure for survivors of domestic abuse

Items from the Emotional Support Subscale of the Bosch Support Measure were administered in a small survey of 56 formerly abused rural women in the midwestern USA. Maximum likelihood factor analyses were performed on a total of 21 items. A 5-factor solution appeared to produce the best results, but only 3 factors suggested viable subscales with Cronbach alphas greater than .80. Informal support networks in the rural areas studied here appeared to provide survivors of domestic violence with general emotional support to a greater extent than guidance on accessing professional resources and help.     

Neurobehavioral functioning in children with fetal alcohol spectrum disorder.

Neurobehavioral functioning of 50 Canadian children diagnosed with Fetal Alcohol Spectrum Disorder (FASD) was evaluated. The aims of this study were to identify specific areas of weakness in neurobehavioral functioning, to examine whether neurobehavioral functioning was related to various predictor variables, and to determine which measures differentiated between children given a brain score of 2 (possible dysfunction) and 3 (probable dysfunction). Participants displayed difficulties with many aspects of intelligence, memory, executive functioning, and attention. Measures of Full scale and Verbal IQ, as well as memory for faces and numbers differentiated between children with a brain 2 and 3 ranking. An interesting pattern of strengths and weaknesses emerged as well as significant differences related to ethnic background, gender, and age. Aboriginal children and Caucasian children with FASD do not appear to show the same pattern of strengths and weaknesses in neurobehavioral functioning.     

Filial Responsibility and Transitions Involved: A Qualitative Exploration of Caregiving Daughters and Frail Mothers

One of the consequences of an aging society is the growing need for caregivers to the increasing number of frail older persons. This study is a qualitative examination of filial responsibility between caregiving daughters and frail mothers. It explores filial expectations and motivations and how incongruencies are met and negotiated. Twenty-two women (eleven caregiving dyads) were interviewed using a semi-structured interview format. Employing the grounded theory methodology, interviews were analyzed both individually and dyadically for content and themes. What emerged from the analysis was a grounded theory framework of four intrapsychic caregiving and care-receiving transitions: (1) Realizing I am a Caregiver/Care-receiver; (2) Defining the Caregiver/Care-receiver Roles; (3) Redefining the Caregiving Relationship; and (4) Relationship Acceptance. The transitions identified here comprise a loose framework influenced by different levels of filial responsibility—personal, parental, family, and religious. In addition to the four transitions, one overarching theme called “Emotional Responses to Informal Caregiving and Care-receiving” was evident throughout the findings. Findings from this research provide a framework for understanding the often unclear transitions that daughters and mothers believe they go through. Research implications are discussed for researchers, therapists, caregiving support group leaders, and women who are contemplating or confronted with filial responsibility.     

The development of memory for own- and other-race faces

This study demonstrates that experience and development interact to influence the "cross-race effect." In a multination study (n=245), Caucasian children and adults of European ancestry living in the United States, Norway, or South Africa, as well as biracial (Caucasian-African American) children and adults living in the United States, were tested for recognition of Asian, African, and Caucasian faces. Regardless of national or biracial background, 8- to 10-year-olds, 12- to 14-year-olds, and adults recognized own-race faces more accurately than other-race faces, and did so to a similar extent, whereas 5- to 7-year-olds recognized all face types equally well. This same developmental pattern emerged for biracial children and adults. Thus, early meaningful exposure did not substantially alter the developmental trajectory. During young childhood, developmental influences on face processing operate on a system sufficiently plastic to preclude, under certain conditions, the cross-race effect.     

Debiasing of Pessimistic Judgments Associated with Anxiety: A Test of the Availability Heuristic

This investigation directly tested the Consider-An-Alternative debiasing procedure and the reduction of pessimistic threat-related judgments associated with anxiety. Two separate generation interventions were included to test the availability heuristic as a possible explanation of the debiasing effect. Participants were randomly assigned to one of three interventions and probability estimates of future threat-related events were completed in a repeated measures experimental design. Level of trait anxiety was measured to assign participants to “normal” and highly anxious groups. The data were analyzed in a 3 × 2 × 2 mixed factorial repeated measures ANOVA. The results found that only the short debiasing intervention showed a significant reduction of pessimistic judgments in comparison to the control group. The results were interpreted as supporting the availability heuristic as an explanation of the debiasing effect. Further analysis also suggested that the content of recall may be as important to the debiasing effect as ease of recall.     

Criteria‐based content analysis of true and suggested accounts of events

Worldwide, the criteria‐based content analysis (CBCA) is probably the most widely used veracity assessment technique for discriminating between accounts of true and fabricated events. In this study, two experiments examined the effectiveness of the CBCA for discriminating between accounts of true events and suggested events believed to be true. In Experiment 1, CBCA‐trained judges evaluated participants' accounts of true and suggestively planted childhood events. In Experiment 2, judges analysed accounts of recent events that were experimentally manipulated to be a (a) true experience, (b) false experience believed to be true and (c) deliberately fabricated experience. In both experiments CBCA scores were significantly higher for accounts of true events than suggested events. However, this difference was not significant for participants classified as experiencing ‘full’ memories for the suggested event. Self‐report memory measures supported the findings of the CBCA analyses. Taken together these results suggest that the CBCA discriminative power is greatly constrained. Copyright © 2008 John Wiley & Sons, Ltd.