Institutional Review Board Issues Related to Special Populations

The present article begins with an introduction to the role of Institutional Review Boards (IRBs) in research activities in general and proceeds to issues IRBs face with relation to special populations, including children and terminally ill individuals, as well as developmentally disabled and cognitively impaired persons. A historical overview of research with these special populations is included, and the report concludes with a real-world example of how IRB-related issues with developmentally disabled and cognitively impaired individuals are discussed and resolved.     

Complicated Grief: An Evolving Theoretical Landscape

The bereavement literature has proliferated in recent decades, generating a shift from conceptualizing grief as a stepwise, uniform process to an idiosyncratic experience that varies among individuals. Among the most notable developments is the empirical exploration of complicated grief—a protracted, debilitating, sometimes life‐threatening response to the death of a loved one—and the testing of novel interventions to treat it. This article provides counselors with recommendations for identifying and treating complicated grief.     

The Observation of Child Behavior During Parent-Child Interaction: The Psychometric Properties of the Crowell Procedure

The observation of child behavior has to be made in ecologically valid contexts. Parent-child interaction was thought to be the most suitable context, since empirical evidence displayed strong associations with children’s behavioral outcomes, psychopathology, social relationships and well-being. Using clinical data from 137 caregiver-child dyads, the main goal of the current study was to test the psychometric properties of an adapted version of the Crowell Procedure among preschoolers. Despite the interest that the Crowell Procedure has aroused, its psychometric properties remain relatively under-documented. This research aimed to study (1) the association between parental and child behavior, (2) the discriminant properties of the Crowell Procedure between preschoolers with a clinical level of externalizing behavior and non-clinical children and (3) the correlation between the Crowell Procedure and a behavioral checklist. The results support the consistency of both tasks and scales, the discriminant properties, external validity and fidelity of the coding system. The Crowell Procedure can therefore be used as an observational paradigm to assess both child and parent behavior in clinical and research contexts. The discriminant analyses revealed that the procedure was effective at differentiating children displaying a clinical level of externalizing behavior from normally developing ones.     

Migration: Vocational perspectives on a complex and diverse transition

This paper outlines the origins of this special issue: a UK Economic and Social Research Council supported seminar series on ‘Careers and Migration’. The series elucidated a number of salient (though under-researched) issues: migration as a diverse and complex process; the loss, recovery and reconstruction of career capital as central in the migration experience; insecurity, security and their dynamic interplay; the salience of relationships with family, compatriots and communities in migrants' career development; and the appropriateness of creative approaches in researching migrants' careers. The seven articles, written by interdisciplinary authorial teams (sometimes working in different occupational sectors) contribute to our understandings of these pressing concerns.     

Behavioral interventions may prolong remission in patients with inflammatory bowel disease

Inflammatory Bowel Diseases (IBDs) are chronic, relapsing and remitting gastrointestinal conditions with no known cure. Previous studies have linked behavioral factors, including stress and medication adherence, to relapse.

Purpose

We sought to determine the effect of participation in a behavioral self-management program on incidence of flare within 12 months following behavioral intervention when compared to the natural history of flare incidence prior to program participation.

Results

Results from a 2-level regression model indicated that those participants in the treatment group were 57% less likely to flare in the following 12 months (compared to 18% in the control group). The decline in “flare odds” was about 2 times greater in treatment versus controls (OR = 0.52, t(34) = 2.07, p < 0.05). Office visits, ER visits, and disease severity (all p < 0.05) were identified as moderators of flare risk.

Conclusions

We have demonstrated 1) a statistical model estimating the likelihood of flare rates in the 12 months following a behavioral intervention for IBD (compared to a control condition), and 2) that the introduction of a behavioral intervention can alter the natural course of a chronic, relapsing and remitting gastrointestinal condition such as IBD.     

Exposing operations of power in supervisory relationships

Through a poststructural lens, we examine how power may show itself in relationships between supervisees and supervisors, producing both helpful and harmful effects. Drawing from our own experiences, as well as conversations with other members of our supervisory group, we demonstrate how privileged discourses around professional status, gender, and race may bring about difficulties including a sense of doubt, worry, inadequacy, and a fear of speaking up. We also illustrate how these difficulties can be addressed in a manner that may lessen their influence, while increasing supervisees' sense of agency.     

Do executive and reactive disinhibition mediate the effects of familial substance use disorders on adolescent externalizing outcomes?

The present study examined the potential mediating roles of executive and reactive disinhibition in predicting conduct problems, attention-deficit/hyperactivity disorder (ADHD) symptoms, and substance use among adolescents with and without a family history of substance use disorders. Using data from 247 high-risk adolescents, parents, and grandparents, structural equation modeling indicated that reactive disinhibition, as measured by sensation seeking, mediated the effect of familial drug use disorders on all facets of the adolescent externalizing spectrum. Executive disinhibition, as measured by response disinhibition, spatial short term memory, and "trait" impulsivity, was associated with ADHD symptoms. Moreover, although executive functioning weakness were unrelated to familial substance use disorders, adolescents with familial alcohol use disorders were at risk for "trait" impulsivity marked by a lack of planning. These results illustrate the importance of "unpacking" the broad temperament style of disinhibition and of studying the processes that underlie the commonality among facets of the externalizing spectrum and processes that predict specific externalizing outcomes.     

When Women are Urged to have Casual Sex More than Men are: Perceived Risk Moderates the Sexual Advice Double Standard

Sociocultural and biological frameworks suggest a Sexual Advice Double Standard (SADS; wherein heterosexual men are encouraged to have causal sex more than heterosexual women are) motivated by intransigent factors (e.g., patriarchy or evolved dispositions). Alternatively, people generally perceive casual sex as riskier for women, who may be discouraged from sex to protect them from stigma and danger (Rudman et al. 2013). If so, manipulating perceived risk to reduce or reverse the costs of casual sex for men and for women should eliminate or reverse the SADS, respectively. Results investigating American adults (N = 180) supported risk assessment’s explanatory power. When costs to both partners were mild, the SADS was eliminated, but when costs to men were higher, women were urged to have casual sex more than men were. The SADS emerged only when costs to women were higher. The findings have implications for gender equality and sexuality theories, but also practitioners (e.g., therapists, sex educators, and physicians). The SADS is far from intractable, but believing in rigid sexual double standards creates psychological conflict in women caught between motives to be seen as moral and sexually desirable, which negatively impacts their sexual health (e.g., Katz and Farrow 2000).     

“I'm Not Prejudiced,but . . .”: Compensatory Egalitarianism in the 2008 Democratic Presidential Primary

The historic 2008 Democratic presidential primary race between Barack Obama and Hillary Clinton posed a difficult choice for egalitarian White voters, and many commentators speculated that the election outcome would reflect pitting the effects of racism against sexism ( Steinem, 2008 ). Because self‐reported prejudices may be untrustworthy, we used the Implicit Association Test (IAT) to assess White adults’ (1) condemnation of prejudices, and (2) attitudes toward the candidates in relation to voting decisions, as part of an online survey. Results supported the proposed compensatory egalitarianism process, such that Whites’ voting choice was consistent with their implicit candidate preference, but in an effort to remain egalitarian, participants compensated for this preference by automatically condemning prejudice toward the other candidate's group. Additional findings showed that this process was moderated by participants’ ethnicity and level of prejudice, as expected. Specifically, compensatory egalitarianism occurred primarily among Whites and individuals low in explicit prejudice. Implications for candidate support, aversive racism theory, and implicit compensation processes are discussed.     

But I'm No Bigot: How Prejudiced White Americans Maintain Unprejudiced Self‐Images

Four experiments investigate a modern paradox: White Americans harbor racial prejudice, but view themselves as unprejudiced. We hypothesized that social representations of prejudice available in American culture lead many Whites to conclude that they are relatively unprejudiced. In Experiment 1, participants primed with the bigot stereotype viewed themselves as less prejudiced. In Experiments 2 and 3, participants exposed to media representations of racists viewed themselves as less prejudiced. In Experiment 4, participants sought exposure to media representations of prejudice after a threat to their unprejudiced self‐image. These experiments suggest that representations of prejudice in American culture lead prejudiced individuals to view themselves as unprejudiced, and the effect of these representations on people's unprejudiced self‐images can be passive or intentional.