Family climate of routine asthma care: associating perceived burden and mother-child interaction patterns to child well-being

This preliminary report links the literatures on family asthma management practices and on the characteristics of family interaction patterns thought to influence children's adjustment to a chronic physical illness. Specifically, this study of 60 families with a child with asthma examined the extent to which perceived burden of routine asthma care affected child mental health via its influence on parent-child interaction patterns. Mothers completed a measure of asthma management routine burden, mother and child were observed in a 15-minute interaction task, and children completed measures of child anxiety and asthma quality of life (QOL). Perceived routine burden significantly predicted child anxiety and QOL through its effect on mother-child rejection/criticism. The same pattern did not hold for mother intrusiveness/control. The results are discussed in terms of how overall family climate and regulation of routines affects child well-being. Implications for clinical practice and limitations of the study are provided.     

Interdependent Group Contingency Management for Cocaine-Dependent Methadone Maintenance Patients

Contingency management (CM) for drug abstinence has been applied to individuals independently even when delivered in groups. We developed a group CM intervention in which the behavior of a single, randomly selected, anonymous individual determined reinforcement delivery for the entire group. We also compared contingencies placed only on cocaine abstinence (CA) versus one of four behaviors (CA, treatment attendance, group CM attendance, and methadone compliance) selected randomly at each drawing. Two groups were formed with 22 cocaine-dependent community-based methadone patients and exposed to both CA and multiple behavior (MB) conditions in a reversal design counterbalanced across groups for exposure order. The group CM intervention proved feasible and safe. The MB condition improved group CM meeting attendance relative to the CA condition.     

Low prosocial attachment, involvement with drug-using peers, and adolescent drug use: a longitudinal examination of mediational mechanisms.

The process of disengagement from prosocial entities (e.g., family and school) and either simultaneous or subsequent engagement with antisocial entities (e.g., friends who use drugs) is a critical contributor to adolescent drug use and delinquency. This study provides a series of formal mediation tests to demonstrate the relationship between poor family attachment, poor school attachment, involvement with friends who use drugs, and a student's own use of drugs. Results indicate that poor family attachment exerts its effect on drug use through poor school attachment and involvement with friends who use drugs. In addition, poor school attachment exerts its effect on drug use through involvement with friends who use drugs. The results of this study corroborate theories that suggest disengagement from prosocial entities is associated with involvement with antisocial entities and eventual involvement in drug use. Implications for prevention strategies are discussed.     

Behavior analyst use of and beliefs in treatments for people with autism

With the increase in the numbers of children diagnosed with autism and scientific support solely for Applied Behavior Analysis (ABA) treatment, a proliferation of professionals have sought ABA training to provide services to this population. However, not all have been reportedly providing solely ABA services. This study surveyed Board Certified Behavior Analysts (BCBAs; N = 469) concerning their beliefs, endorsement, and use of a variety of scientifically supported and unsupported treatments for people with autism. Although not all endorsed using ABA, BCBA professionals most widely reported using ABA and ABA‐related treatments. Surprisingly, BCBAs endorsed and used all types of treatments, despite their beliefs that the treatments were difficult to implement, not cost effective, and not supported by research. Copyright © 2008 John Wiley & Sons, Ltd.     

False recognition of facial expressions of emotion: causes and implications

This article examines the importance of semantic processes in the recognition of emotional expressions, through a series of three studies on false recognition. The first study found a high frequency of false recognition of prototypical expressions of emotion when participants viewed slides and video clips of nonprototypical fearful and happy expressions. The second study tested whether semantic processes caused false recognition. The authors found that participants made significantly higher error rates when asked to detect expressions that corresponded to semantic labels than when asked to detect visual stimuli. Finally, given that previous research reported that false memories are less prevalent in younger children, the third study tested whether false recognition of prototypical expressions increased with age. The authors found that 67% of eight- to nine-year-old children reported nonpresent prototypical expressions of fear in a fearful context, but only 40% of 6- to 7-year-old children did so. Taken together, these three studies demonstrate the importance of semantic processes in the detection and categorization of prototypical emotional expressions.     

Traumatized mothers can change their minds about their toddlers: Understanding how a novel use of videofeedback supports positive change of maternal attributions

This study explored the use of a brief experimental intervention that integrates principles of infant-parent psychotherapy, videofeedback, controlled exposure to child distress in the context of parental posttraumatic stress disorder (PTSD), and stimulation of parental reflective functioning (RF). The Clinician Assisted Videofeedback Exposure Session (CAVES) was applied to 32 interpersonal violence-exposed mothers of very young children (8-50 months) with respect to change of maternal perception of her child. While we found no significant reduction over two videotaped assessment visits with a mental health professional, we did find a significant reduction in the degree of negativity of maternal attributions towards her child following the videotaped visit focused on the CAVES (p<.01). Maternal RF, a mother's capacity to think about mental states in herself and her child, accounted for 11% of the variance in reduction of maternal negativity after accounting for baseline levels of negativity. Clinician-assisted videofeedback appears to support emotional self-regulation of mothers with violence-related PTSD. Focusing with a therapist on videofeedback of child separation distress exposes mothers to avoided mental states of helplessness and perceived loss of protection. Negative maternal attributions may mark violent trauma-associated emotion dysregulation and projected self-representations of the maltreated mother.     

The Buffering Role of Social Support Perceptions in Relation to Eating Disturbances among Women in Abusive Dating Relationships

Abuse is often associated with diminished social support networks, which typically serve to buffer individuals against stress-related outcomes, including eating disorders. The goal of the present study was to examine whether eating disturbances among women in abusive dating relationships varied as function of perceived social support. Although both physical and psychological aggression in women's (N=83) dating relationships was associated with symptomatic dieting and bulimic symptoms, only psychological aggression predicted unique variance. Although psychological aggression was directly related to eating symptoms, support from friends diminished the relation to bulimic symptoms, possibly because such support facilitated women's ability to distract themselves from their abusive situations. In contrast, perceived parental support buffered women in physically abusive relationships from disturbed eating patterns. Thus, depending on the nature of abuse women experienced, social support resources were differentially effective in buffering women from eating disturbances.     

Upsetting Behavior: Reactions to Personal and Bystander Sexual Harassment Experiences

The current research was designed to examine objective and contextual factors related to the appraisal of potentially sexually harassing situations. Working female participants (n = 208) from a mid-sized southwestern university completed a workplace experiences survey in small groups. The majority of participants were Hispanic/Latina (77.9%). We predicted that characteristics of personal harassment experiences (e.g., number of distinct types of behaviors experienced, frequency, duration) and bystander harassment experiences would contribute independently to how upset women were by their own sexual harassment experiences. Results indicated that characteristics of personal harassment experiences and bystander experiences did predict how upset women were by their own gender harassment and by unwanted sexual attention experiences. Results are discussed in terms of the importance of considering multiple types of workplace stressors (e.g., personal and bystander sexual harassment experiences) and their relation to the appraisal process.