Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model

Low-income families are more likely to have a child with an early-onset Behavior Disorder (BD); yet, socioeconomic strain challenges engagement in Behavioral Parent Training (BPT). This study follows a promising pilot to further examine the potential to cost-effectively improve low-income families’ engagement in and the efficiency of BPT. Low-income families were randomized to (a) Helping the Noncompliant Child (HNC; McMahon & Forehand, 2003), a weekly, mastery-based BPT program that includes both the parent and child or (b) Technology-Enhanced HNC (TE-HNC), which includes all of the standard HNC components plus a parent mobile application and therapist web portal that provide between-session monitoring, modeling, and coaching of parent skill use with the goal of improved engagement in the context of financial strain. Relative to HNC, TE-HNC families had greater homework compliance and mid-week call participation. TE-HNC completers also required fewer weeks to achieve skill mastery and, in turn, to complete treatment than those in HNC without compromising parent satisfaction with treatment; yet, session attendance and completion were not different between groups. Future directions and clinical implications are discussed.     

Providing noncontingent,alternative, functional reinforcers during delays following functional communication training

Functional Communication Training (FCT) involves arranging extinction for problem behavior and reinforcement for a more desirable, functionally equivalent, communicative response (FCR). Although effective under ideal arrangements, the introduction of delays to reinforcement following the FCR can result in increased problem behavior. Austin and Tiger (2015) showed that for individuals whose problem behavior was sensitive to multiple sources of reinforcement, providing access to alternative, functional reinforcers during delays mitigated this increase in problem behavior during delay fading. The current study replicated the procedures of Austin and Tiger with 2 individuals displaying multiply controlled problem behavior. Providing alternative functional reinforcers reduced problem behavior during 10-min delays for both participants without requiring delay fading.     

Application of The APA Practice Guidelines on Suicide to Clinical Practice

This article presents charts from The American Psychiatric Association Practice Guideline for the Assessment and Treatment of Patients with Suicidal Behaviors, part of the Practice Guidelines for the Treatment of Psychiatric Disorders Compendium, and a summary of the assessment information in a format that can be used in routine clinical practice. Four steps in the assessment process are presented: the use of a thorough psychiatric examination to obtain information about the patient's current presentation, history, diagnosis, and to recognize suicide risk factors therein; the necessity of asking very specific questions about suicidal ideation, intent, plans, and attempts; the process of making an estimation of the patient's level of suicide risk is explained; and the use of modifiable risk and protective factors as the basis for treatment planning is demonstrated. Case reports are used to clarify use of each step in this process.     

THE RELATIONSHIP OF GENDER AND ETHNICITY TO SELF-SILENCING AND DEPRESSION AMONG COLLEGE STUDENTS

This study expands on the initial work with the Silencing the Self Scale (STSS; Jack, 1991) by presenting data using a more diverse, nonclinical sample. Included were both men and women ( n = 604) who were African American, Asian, Caucasian, and Hispanic. It was expected that women would be more self-silencing than men, and that there would be ethnic differences. There were three principal findings: (a) men were more self-silencing than were women on the STSS; (b) there was a main effect for ethnicity on the STSS, with Asians expressing the highest levels of self-silencing; and (c) there was a positive correlation between self-silencing and depression for all ethnic/gender groups.     

The ‘Collective Pierre Rivière’: Using collective biography and ambling conversational methods to interrogate and re-present pivotal moments from the Pierre Rivière narratives

Collective biography is a research strategy that works at the level of bodily and emotional knowledge and moves beyond individualized versions of the subject, towards subjects-in-process and subjects-in-relation (Davies and Gannon, 2006). In this paper we, the authors, reflect upon and describe our experiences of using collective biography practices as a way of interrogating and writing our way into ‘pivotal moments’ within the Pierre Rivière texts (both book and film). The collective writing about ‘pivotal moments’ that our research group generated during workshops held at a university, exploring the ‘Pierre Rivière’ narratives have then been further reworked into a reflective, layered account, through an ambling conversational process.     

Everyday antiracism in interpersonal contexts: Constraining and facilitating factors for ‘speaking up’ against racism

Everyday conversations among non‐Indigenous Australians are a significant site in which racism towards Indigenous Australians is reproduced and maintained. This study explores the possibilities of everyday antiracism by asking how people negotiate racist discourses in interpersonal contexts. Twelve first year psychology students (10 female, 2 male, aged 18–50) who had completed a compulsory Indigenous studies course were recruited as participants. Semi‐structured interviews were thematically analysed for the constraints and facilitators for responding to racism in everyday contexts. As constraints against speaking up, participants offered ‘social expectations to fit in’, ‘fear of provoking aggression and conflict’, assessments of ‘the type of relationship’, whether they ‘could make a difference’ and the ‘type of racism’. As a facilitator for speaking up, participants reported they were confident in challenging erroneous statements when they felt well informed and authoritative about the facts. The research suggests that everyday antiracism requires a preparedness to deal with possible discomfort and ‘bad feeling’ which participants reported avoiding. The paper concludes with suggestions for stimulating critical thinking and intergroup dialogue in relation to everyday antiracism. Copyright © 2011 John Wiley & Sons, Ltd.