Caregiver Involvement in the Intensive Mental Health Program: Influence on Changes in Child Functioning

We examined behavioral markers of caregiver involvement and the ways in which family participation was related to treatment outcomes in 47 elementary school children with SED enrolled in a school-based intensive mental health program. Measures of caregiver involvement included therapeutic home visits, attendance at therapeutic meetings, completion of ratings on the daily point sheet, and extra communications with the therapeutic team on the point sheet. Greater initial impairment was associated with greater caregiver involvement. Greater caregiver involvement was linked to improvement in child thought processes, increased ability to provide emotional and social supports for the child, and greater overall child functioning at discharge. Our findings also reflected increased therapists’ attempts to provide additional in-home services in cases where caregivers demonstrated a decline in their ability to provide for their children’s physical and material needs, or in which therapists discovered that the family functioning was more impaired than what was initially assessed. We provide a case study that exemplifies many of these findings.     

An Examination of the Psychometric Properties and Factor Structure of the Feelings of Stigmatization Questionnaire

As the experience of stigma and its psychological dimensions require careful measurement, the purpose of this study was to examine the psychometric properties and factor structure of the Feelings of Stigmatization Questionnaire (FSQ). A total of 170 participants with psoriasis and 124 with atopic dermatitis (AD) completed the FSQ. AD participants self-rated AD severity, while psoriasis severity was determined by a clinician. Confirmatory (CFA) and exploratory factor analytic (EFA) techniques were used to examine the factor structure of the FSQ. The FSQ total score was not related to age, age at onset, illness duration or psoriasis severity but it was negatively associated with AD severity (r = −.25, p < .01). The original six-factor structure of the FSQ was not replicated in our sample. Using EFA, a fixed three-factor solution proved the most stable, with the dimensions of feeling flawed, anticipation of rejection and secrecy, and positive attitudes towards skin disease being identified.     

Use of virtual reality distraction to reduce claustrophobia symptoms during a mock magnetic resonance imaging brain scan: a case report.

The present case series with two patients explored whether virtual reality (VR) distraction could reduce claustrophobia symptoms during a mock magnetic resonance imaging (MRI) brain scan. Two patients who met DSM-IV criteria for specific phobia, situational type (i.e., claustrophobia) reported high levels of anxiety during a mock 10-min MRI procedure with no VR, and asked to terminate the scan early. The patients were randomly assigned to receive either VR or music distraction for their second scan attempt. When immersed in an illusory three-dimensional (3D) virtual world named SnowWorld, patient 1 was able to complete a 10-min mock scan with low anxiety and reported an increase in self-efficacy afterwards. Patient 2 received "music only" distraction during her second scan but was still not able to complete a 10-min scan and asked to terminate her second scan early. These results suggest that immersive VR may prove effective at temporarily reducing claustrophobia symptoms during MRI scans and music may prove less effective.     

Risk and protective factors for urban African-American youth

The present study investigated risk and resilience processes in a sample of urban African-American youth. Risk and protective factors were assessed across ecological levels including individual, family and community. Both externalizing and internalizing symptomatology were included as measures of child adjustment. Youth and parental reports as well as various methods, such as the Experience Sampling Method, were used to capture the daily experiences of the adolescents from different perspectives. Poverty, hassles, and exposure to violence predicted higher rates of externalizing and internalizing symptoms. Individual and family protective variables emerged as powerful sources of resilience. An inner sense of confidence and helpful family support were associated with reductions in the deleterious effects of community poverty. Two main patterns, protective-stabilizing and overwhelming-risk, seemed to characterize most of the risk by protective factor interactions. The present findings are important for understanding the complex experiences of urban youth and furthering the literature on sources of risk and protection for African-Americans.     

The appeal of the underdog

When people observe competitions, they are often drawn to figures that are seen as disadvantaged or unlikely to prevail. The present research tested the scope and limits of people's support for underdogs. The first two studies demonstrated, in the context of Olympic matches (Study 1) and the Israeli-Palestinian conflict (Study 2), that observers' support for a competitor increased when framing it as an underdog. The final two studies explored mechanisms underlying support for underdogs. Study 3 showed that participants attributed more effort to a team when they believed it to be an underdog, and perceptions of effort mediated liking. In Study 4, participants reading a hypothetical sporting event supported a team with a low probability of success and labeled it an underdog unless it had greater resources than an opponent, suggesting that low expectations by themselves do not engender support if positive outcomes are not seen as deserved.     

Noah Porter's problem and the origins of American psychology

The twin problems facing nineteenth-century American "mental and moral philosophy" of the nature of psychological language and the constraints that religious beliefs placed on possibilities of innovation in a "scientific Psychology" are both highly visible in the work of Noah Porter, who was unable to resolve them. They are also more covertly identifiable in the works of James McCosh and others in this school. It is suggested that the transition to the "New Psychology" of the 1880s and 1890s needs to be rethought in light of this in three respects: (a) ironically, it entailed repressing insights into the psychological language problem, (b) the legacy of the religious factor profoundly affected U.S. Psychology and played a less unambiguously negative role in its fortunes than customarily portrayed, and (c) the transition was itself a more complex and protracted process than is portrayed in traditional "revolutionary" accounts.     

Reasoning about emotional and neutral materials. Is logic affected by emotion?

In two experiments, we investigated whether people reason differently when they reason about emotional and neutral contents. We gave participants a conditional reasoning task ("If p, then q") and varied the emotionality of the items used as p and q. Participants were asked to draw inferences based on these statements. In Experiment 1, we compared statements including preexisting emotional and neutral words. In Experiment 2, we experimentally manipulated the emotionality of initially neutral words using classical conditioning. In both experiments, emotionality affected participants' responses. They were more likely to draw invalid inferences in response to emotional compared with neutral statements.     

Effects of stress on inflammatory autoimmune disease: destructive or protective?

We have summarised evidence in the literature for modulatory effects of stress on inflammatory autoimmune disease. We find that overall there is strong evidence for such an interrelationship. Apparent discrepancies between groups and studies are probably due to differences in experimental design, whether longitudinal or retrospective. Other important variables are the specific effects of different types of stress and the intensity and timing of the stressor relative to onset of inflammation. We conclude that there is much of benefit to be learned from scientific study of stress, such as harnessing and rationalising of stressful experiences through self-expression in patients, or the identification of novel anti-inflammatory compounds activated by stress.