Community-delivered infant–parent psychotherapy improves maternal sensitive caregiving: Evaluation of the Michigan model of infant mental health home visiting

The current study evaluated the effectiveness of a home-based psychotherapeutic Infant Mental Health Home Visiting (IMH-HV) intervention for enhancing parenting sensitivity; a secondary aim was to evaluate whether the use of video feedback was associated with greater treatment response. Participants were N = 78 mothers and their children (age at entry ranged from prebirth to 24-month old (M = 9.8, SD = 8.4), who were initiating IMH-HV services with community mental health-based therapists (N = 51). Dyads were assessed during extended home visits via standardized interviews and observational and questionnaire methods within the first month of treatment (baseline), and again 6 and 12 months thereafter. Following each of these extended home visits, study evaluators completed a standard Q-sort to capture observations of maternal sensitivity during the visit. Therapists completed fidelity checklists used to derive the total number of IMH-HV sessions received (i.e., dosage) and frequency with which therapists provided video feedback. Results indicated a dose–response relationship between number of sessions and maternal sensitivity, and that video review with parents independently contributed to improved maternal sensitivity. Discussion focuses on the effectiveness of this community-based psychotherapeutic home visiting model for enhancing parenting, as well as the value of video feedback as a specific therapeutic strategy.     

Life Satisfaction and Symptoms of Mental Disorder Among Older African American Public Housing Residents

This study examines life satisfaction and symptoms of mental disorder in a sample of 831 older African American residents of urban public housing developments. Symptoms of mental disorder included measures of emotional distress, alcohol-related problems, and cognitive impairment. Subjects reporting less life satisfaction had significantly greater emotional distress. Neither lifetime alcohol-related problems nor cognitive impairment were significantly related to life satisfaction. Stepwise multiple regression analyses indicated that emotional distress subscales accounted for most of the explained variance in life satisfaction. Social dysfunction was the strongest predictor of life satisfaction, accounting for 17% of the variance. Having a confidant, instrumental social support, religious support, or being female also contributed to the explained variance in life satisfaction.     

The Role of Religion in the Collective Identity of the White Racialist Movement

This paper applies the concept of identity to the white racialist or separatist movement, typically referred to as the white supremacist movement in many mainstream publications. While similar racial identity and shared perceptions of the meaning of racialism bind the movement together, there are other important concerns that potentially divide the movement but also have served to attract members to it. One of these potentially divisive areas, the differences in religious views, is explored here through an analysis of the white separatist literature and interviews with movement members. Three belief systems of movement members—Christian or Israel Identity, Church of the Creator, and Odinism—are examined. All three contribute to strengthening the racial identity of white racialists, but are at the same time potentially antagonistic to each other. It is suggested that this religious divide will be a key issue in influencing the future development of the movement.     

The Temporal Unfolding of Local Acoustic Information and Sentence Context

The purpose of this study was to investigate the temporal unfolding of local acoustic information and sentence context using both cross-modal interference (CMI) and word-monitoring tasks. The timing of sentence context effects have important theoretical implications for models of language processing (e.g., initial context independence vs. initial interaction). Yet, different tasks tend to yield different results. For both experiments, stimuli from an acoustically manipulated goat-to-coat continuum were embedded in sentences whose interpretation was biased toward either goat or coat. In experiment 1 (CMI), the primary task was listening to sentences for comprehension; the interference task was a word/nonword decision to an unrelated visual probe that appeared at one of three positions within the sentence. Results showed immediate effects of the acoustic manipulation, but only delayed effects of sentence context. These results were interpreted to indicate that phonological processing is initially context-independent but is followed by rapid context integration. Experiment 2 used a word-monitoring task: Response times were significantly longer when sentence context was incongruent with the monitoring target, showing an immediate effect of context. The apparently contradictory results of the two experiments together support an account of language processing in which phoneme categorization is initially independent of sentence context unless an explicit judgment about the identity of the target is required.     

Women's communication in Mexican organizations

This study attempts to derive a communication profile of women in Mexican organizations of the private sector. The questions that guided the study were the following: (1) Do women perceive their communication behaviors as similar to or different from those of men at their same organizational level? (2) If women do perceive differences, what is their nature? (3) Do perceived similarities to and differences from men vary by organizational level? Forty-five women in 14 Mexican organizations were intensively interviewed in the winter of 1980. The interviews were distributed equally at three organizational levels—secretarial, middle management, and upper management. It was found that women respondents perceive themselves to differ from men on 18 of 40 verbal and nonverbal communication variables. The average woman in this study perceived that verbally she is more courteous, cheerful, assertive, careful, likely to talk with males, self-confident, and directive than men, and that she expresses less agreement than men. Nonverbally, the average woman was found to look more at the eyes, smile more, give more attention to dress, be more punctual and flexible than men, and to be less rigid in posutre, touch less, invite co-workers to her home less, and take less work home. Organizational level differences were also found. The results are discussed in the light of the theoretical paradigms presented in the study.     

A comparison of depressed and nondepressed disturbed children on measures of attributional style,hopelessness, life stress,and temperament

Upon admission to a hospital treatment program, clinically depressed and nondepressed children (aged 9–17 years) were assessed on measures of attributional style, hopelessness, depression, life stress, and child temperament. The depressed group tended to attribute positive events to specific and unstable factors when compared with the nondepressed sample. Group differences also were found on child temperament measures. However, no differences were reported between the diagnostic groups on self-reported depression, hopelessness, or life stress. The findings suggested that there may not be a unique constellation of cognitive characteristics in depressed children when compared with a nondepressed clinical sample. For both depressed and nondepressed groups, treatment did appear to affect self-reported depression and overall ratings of depressogenic attributional style.     

Judgmental relativism as a validity threat to standardized psychiatric rating scales

Judgemental relativism is a threat to the replicability and validity of measures of client behavior from direct rating scales whenever raters are exposed to different levels of client functioning since the internal standards, or anchor points, used to judge dimensional continua may vary on the basis of prior experience. Traditional interrater reliability indexes fail to identify such effects. The influence of judgmental relativism on summated ratings from the Nurses Observational Scale for Inpatient Evaluation (NOSIE-30) for 1040 adult mentally ill clients was examined with clinical staff raters from 24 treatment units in which the Time-Sample Behavioral Checklist (TSBC) provided full-week objective measures of actual client functioning via hourly direct observational coding (DOC). Regression analyses found that the same level of objective performance received higher or lower ratings across treatment units dependent on the raters'exposure to client groups that differed in level of functioning. Analyses of rating errors found that clients with better levels of functioning relative to others within treatment units were rated even higher than performance warranted. The operation of halo and contrast effects is explored and guidelines are provided for determining when judgmental relativism may produce or nullify significant differences. DOC assessments should be used instead of retrospective ratings to support most decisions in residential settings. Specific recommendations for the application of rating scales and improving data quality are provided.This study was the basis of a master's thesis at the University of Houston by Betty E. Rich under the direction of Gordon L. Paul and Marco J. Mariotto. Richard M. Rozelle, to whom appreciation is expressed for helpful comments, served on the examination committee. This study was partially supported by grants to Gordon L. Paul from the National Institute of Mental Health, Public Health Service (MH-15353; MH-25464); the Illinois Department of Mental Health and Developmental Disabilities; the Joyce Foundation; the MacArthur Foundation; the Owsley Foundation; the Cullen Foundation; and the Center for Public Policy, University of Houston.     

Children's memory for a personally experienced event: Implications for testimony

This study was prompted by an interest in children's abilities to testify in legal settings. Based on the fundamental premise that children cannot provide accurate testimony about events that cannot be remembered, this investigation focused on 3- and 6-year-olds' memory of a salient, personally experienced event. The event selected was that of a visit to the doctor for a physical examination. Children at both ages remembered most of the features of the check-up at an immediate memory test, although the older children performed somewhat better than younger children. In addition, the performance of the 3-year-olds decreased over delay intervals of 1 and 3 weeks, whereas that of the 6-year-olds remained constant over this period. Moreover, at all assessment points the older children provided more information in response to open-ended general questions than did the younger children. Both groups of children were quite good at giving accurate responses to misleading questions, although the 3-year-olds performed below the level of 6-year-olds. The need for further controlled studies of children's memory capabilities is discussed.     

Cacao Beans and Chili Peppers: Gender Socialization in the Cosmology of a Yucatec Maya Curing Ceremony

Maya symbols associate cultural interpretationsof biological reproduction with gender roles within acosmological model of the natural world. Thesetraditional symbols were used in a ceremony performed to cure the pubescent daughter of a modernizingfamily. She was suffering "ataques de nervios"(nervous attacks, including muscle spasms and loss ofconsciousness) believed to be caused by a delay in the onset of menarche. Analysis of thesymbols relied on multiple approaches that alloweddecoding of ceremonial symbols as references to (1) thegendered pairing of marriage, (2) the socialreproduction of gender through the generations, (3) thereproductive aspects of human bodies as symbols ofinterdependency, and (4) maleness and femaleness asprimary forces of the Maya cosmos. The traditionalsymbols, combined with the teachings of the healer,provided an interpretation of the biological differencesbetween male and female bodies within an overarchingcosmological system. The primary symbols referred explicitly to male and female genitalia andmenstrual blood as symbols for the reproduction ofgender through generations of mothers and daughters,fathers and sons. The ceremony was apparentlyeffective-despite a context of rapid modernization in whichfamily planning, formal education, and new economicopportunities increasingly result in employment of womenoutside the home.