Hostile/Helpless maternal representations in pregnancy and later child removal: A pilot study

This article presents the results of a small pilot study examining links between Hostile/Helpless (HH) representations of caregiving in pregnancy and later child removal by child protective services. The sample was drawn from a replication study of the Minding the Baby^® attachment‐based home‐visiting intervention conducted in the United Kingdom, serving young first‐time mothers in under resourced communities. The HH classification system (Lyons‐Ruth et al.) was adapted for use with the Pregnancy Interview (PI) (Slade); 26 PIs were assessed (coders blinded) in a sample that included 13 mothers whose infants were removed from custody due to anticipated or documented maltreatment within 2 years of childbirth, and 13 mothers who did not have their infants removed. Mothers whose infants were removed from their custody had significantly higher HH scores than mothers of infants who were not removed from their care (F(1, 24) = 14.500, p < .001), and the relation between overall HH classification and infant removal status was also significant (χ²(1, N = 26) = 12.462, p < .001). Results suggest that prenatal maternal caregiving representations may predict postnatal relationship disruptions, and indicate the need for larger studies further testing this prenatal approach to maltreatment risk assessment in at‐risk populations.     

The role of spousal relationships in fibromyalgia patients’ quality of life

Fibromyalgia (FM) is a chronic pain syndrome that includes debilitating symptoms such as widespread pain and tenderness, fatigue, and poor physical functioning. Research has shown FM patients’ choice of coping style and relationship quality with their spouse can impact their mental quality of life (QoL), but no known study has examined the protective nature of relationship quality and coping behaviors on both patient physical and mental QoL in the context of chronic pain. We examined 204 patients with FM on the (a) roles of coping styles and relationship quality on patient quality of life, and (b) moderating effect of relationship quality on the association between negative coping style and patient QoL. A series of multiple regressions found patients’ coping styles were not significantly associated with physical QoL, but were significantly associated with mental QoL. Patients’ relationship quality with their spouse was significantly associated with mental QoL, but not physical QoL and no significant interactions with negative coping style were found. Our results emphasize the importance of coping styles and relationship quality between patients and their spouses in the context of chronic pain. Clinicians can incorporate the patient’s relationship as part of a more holistic approach to care and improving outcomes.     

Confirmatory factor analysis of the Behavior Rating Inventory of Executive Functioning (BRIEF) in children and adolescents with ADHD

The Behavior Rating Inventory of Executive Functioning (BRIEF) is a parent report measure designed to assess executive skills in everyday life. The present study employed a confirmatory factor analysis (CFA) to evaluate three alternative models of the factor structure of the BRIEF. Given the executive functioning difficulties that commonly co-occur with attention-deficit/hyperactivity disorder (ADHD), the participants included 181 children and adolescents with a diagnosis of ADHD. The results indicated that an oblique two-factor model, in which the Monitor subscale loaded on both factors (i.e., Behavioral Regulation, Metacognition) and measurement errors for the Monitor and Inhibit subscales were allowed to correlate, provided an acceptable goodness-of-fit to the data. This two-factor model is consistent with previous research indicating that the Monitor subscale reflects two dimensions (i.e., monitoring of task-related activities and monitoring of personal behavioral activities) and thus loads on multiple factors. These findings support the clinical relevance of the BRIEF in children with ADHD, as well as the multidimensional nature of executive functioning.     

Unconscious Evidence

Can beliefs that are not consciously formulated serve as part of an agent's evidence for other beliefs? A common view says no, any belief that is psychologically immediate is also epistemically immediate. I argue that some unconscious beliefs can serve as evidence, but other unconscious beliefs cannot. Person‐level beliefs can serve as evidence, but subpersonal beliefs cannot. I try to clarify the nature of the personal/subpersonal distinction and to show how my proposal illuminates various epistemological problems and provides a principled framework for solving other problems.     

Outcome Trajectories for Adolescents in Residential Treatment: A Statewide Evaluation

Although residential treatment represents one of the largest and most expensive components of the mental health service system for children and adolescents, little is known about the anticipated outcomes of this service. Still less is known about the trajectory through which change occurs within these settings. We examined the clinical status of 285 adolescents over a 2-year period after placement in residential treatment by the Department of Mental Health in a western state. Using a growth modeling technique, the rate of change was determined over a set of symptoms measured by the Acuity of Psychiatric Illness—Child and Adolescent Version (CAPI). Results suggest that while adolescents tended to improve overall during the course of their stays, there was considerable variation in which symptoms improved and which did not. Two symptoms actually became reliably worse with treatment. In addition, significant variation in outcomes was demonstrated across sites, with adolescents in one site getting reliably worse during the course of residential treatment. Our findings demonstrate the utility of outcomes management and have significant implications for how residential services for children and adolescents should be managed.     

Masculinities, Femininities, Behaviour and Health

Using the notion that gender is performed in daily life and through daily activities, I review some of the health behaviour literature which employs ideas about masculinity and femininity. I argue that recent theorising about both masculinities ( Connell & Messerschmidt, 2005 ) and femininities ( Schippers, 2007 ) can be extremely useful in this field. I consider two specific health behaviours in light of this theorising, namely healthy eating and drinking alcohol, and explore how and which versions of masculinities and femininities are played out, which are problematic, and what they mean for gender hegemony. I argue that across both areas (and across other health behaviours), there are three specific issues that are important and require further conceptual development and empirical work: (1) the relationality of gender; (2) masculinities and femininities as embodied; and (3) the local, contingent and intersectional nature of masculinities and femininities. This conceptual framework and the aspects of relationality, embodiment and intersectionality have important implications not only for understanding health behaviours, but for any social psychological work theorising identities and everyday social practice.     

Beyond quantity: Individual differences in working memory and the ordinal understanding of numerical symbols

In two different contexts, we examined the hypothesis that individual differences in working memory (WM) capacity are related to the tendency to infer complex, ordinal relationships between numerical symbols. In Experiment 1, we assessed whether this tendency arises in a learning context that involves mapping novel symbols to quantities by training adult participants to associate dot-quantities with novel symbols, the overall relative order of which had to be inferred. Performance was best for participants who were higher in WM capacity (HWMs). HWMs also learned ordinal information about the symbols that lower WM individuals (LWMs) did not. In Experiment 2, we examined whether WM relates to performance when participants are explicitly instructed to make numerical order judgments about highly enculturated numerical symbols by having participants indicate whether sets of three Arabic numerals were in increasing order. All participants responded faster when sequential sets (3-4-5) were in order than when they were not. However, only HWMs responded faster when non-sequential, patterned sets (1-3-5) were in order, suggesting they were accessing ordinal associations that LWMs were not. Taken together, these experiments indicate that WM capacity plays a key role in extending symbolic number representations beyond their quantity referents to include symbol-symbol ordinal associations, both in a learning context and in terms of explicitly accessing ordinal relationships in highly enculturated stimuli.     

Consuming Male Identities: Masculinities,Gender Relations and Alcohol Consumption in Aotearoa New Zealand

The excessive and public consumption of alcohol with other men has been a traditional indication of manliness in Western cultures for many years. However, over the last two decades, this association has been eroded, in part through increased consumption by women. Within the gender‐relational context of this increase, we empirically explore ways in which particular (friendship) groups of young men and women (re)construct masculine identities. The male participants demonstrated greater discursive flexibility in enacting their gender identities through alcohol consumption compared with earlier NZ research although also greater constraints on change compared with more recent UK research. A minority of men constructed themselves as atypical in that they did not like rugby, beer or consuming vast quantities of alcohol. These men were all in professional occupations, and we speculate that their social class and financial status may enable them to negotiate alternative demonstrations of masculinity. We conclude that these findings could be explicated through an examination of national gendered identities that arose out of a pioneer culture, and the commodification of gender identities through alcohol consumption. Copyright © 2011 John Wiley & Sons, Ltd.