Inpatient tube weaning in children with long‐term feeding tube dependency: A retrospective analysis

This study investigates the outcome of an intervention program to establish oral feeding after prolonged tube feeding in children. The intervention is based on supervised reduction of enteral formula within a few days supported by a 3‐week program of speech therapy, occupational therapy, psychoanalytically based eating therapy, physical therapy, psychodynamic coaching, and nutritional counseling of the infant and his or her parents. Two hundred twenty‐one cases were included in this study. All patients had been severely ill or were handicapped and had been exclusively fed by tube for most of their lives. The major outcome variable was complete discontinuation of tube feeding with sufficient oral feeding after treatment, defined as the child's ability to sustain stable body weight by self‐motivated oral feeding. Two hundred three patients (92%) were completely fed orally after treatment. Tube feeding was discontinued completely within 8 days in mean, and mean in‐patient treatment time was 21.6 days. The current method can be used by a trained and experienced team to wean tube‐dependent children from prolonged tube feeding. Tube weaning should be addressed from the beginning of tube feeding in all children who are expected to restore oral feeding after the phase of nutritional stabilization. Since successful programs are rare, we were motivated to present our results of this elaborate program in this article.     

DEGRÉ DE CONTACT ET STRESS ACCULTURATIF DANS LE PROCESSUS D'ADAPTATION DES RÉFUGIÉS AFRICAINS

This study examines some aspects of the adaptive process of African refugees taking up residence in Quebec city, a rather culturally homogenous area. Considering that acculturative stress and degree of contact and participation with the host society are strong indicators of one's adjustment to a new culture, the main hypothesis is that the more contact and participation one establishes with the host society, the less acculturative stress he will report. Out of 62 subjects who voluntarily accepted to participate in the study, 57 were retained for analysis. Results reveal no significant relationship between stress and contact. Multiple regression analyses used to determine the significant predictor variables indicate that age and length of stay explain 19.5% of the total variance for stress while length of stay, sex and adaptive options explain 44% of the total variance for contact. These results tend to demonstrate that, for African refugees, degree of contact is a better indicator of adaptation than stress.     

Timing conditions and the magnitude of gender differences on the Mental Rotations Test

In two experiments, we examined the effect of timing conditions on the magnitude of gender differences in performance on the Mental Rotations Test (MRT). In Experiment 1, each of 196 females and 119 males was administered the MRT via a Microsoft PowerPoint presentation in one of five timing conditions (15, 20, 25, 30, and 40 sec). The participants were exposed to each MRT item for the period specified in the assigned timing condition. Experiment 2 was conducted to address flaws found in Experiment 1. Accordingly, each of 105 females and 105 males was individually administered the task in one of three timing conditions (15 sec, 25 sec, or unlimited duration). The results of both experiments showed that the magnitude of gender differences was similar across timing conditions when a conventional scoring method was used. An analysis of guessing behavior generally indicated that men tend to show little effect of timing conditions, whereas women's propensity to guess increases when they are given more time to respond. In general, the results supported an interpretation of gender differences on the MRT that relies on the joint operation of performance factors and level of spatial ability.     

Psychotherapists' efforts to increase awareness of social privilege

Understanding the role of privilege in systemic oppression positions psychotherapists to engage in culturally oriented practice. Twenty-five practising psychotherapists were asked: ‘How can psychotherapists increase their awareness of social privilege?’ Participants sorted 68 unique responses into six concepts. The concepts included: make yourself uncomfortable; embrace humility; learn from the community; involvement in social action; seek critical knowledge; and find like-minded others in the profession. Recommendations for student training are offered.     

Reliability of laterality effects in a dichotic listening task with nonverbal material

The present study examined the reliability of a dichotic listening task using nonverbal stimuli. Twenty undergraduate students (all right-handed native English speakers) had to report whether they had heard a target emotion. The task used English words (bower, dower, power, tower) pronounced with an angry, happy, neutral, or sad emotional tone. Results showed a relatively high level of test-retest reliability for the laterality effect. In addition, a significant gender by ear of presentation interaction was obtained. The interaction reflected the fact that a strong left ear advantage was found in females but not in males. The findings indicate that the task used here should be considered a reliable means to assess the lateralization of emotions. Issues concerning the relation between gender and laterality are addressed in the discussion.     

Community psychology and injustice in the criminal justice system

In this short paper, we consider the partnership between psychology and the criminal justice system in Western societies and critically reflect on the notion of criminal justice as expressed in such a system. Focusing on how the criminal justice system operates in the UK, and in particular in Scotland, we consider the way the system criminalizes those who previously have been socially and economically disadvantaged. We ask whether community psychology has become negligent in the attention it brings to such a pernicious form of victim blaming and as such has shown insufficient critical engagement with systems that create social harm, and whether it is paying enough attention to the impact of a criminal justice system that is contributing to the creation of a more punitive, fractured and unjust society. Copyright © 2008 John Wiley & Sons, Ltd.     

Family,friend, and neighbour child care providers and maternal well‐being in low‐income systems: An ecological social perspective

Integrating theory from the family ecological systems and social support literatures with findings from child care research, in this study we develop and test a model relating family, friend, and neighbour (FFN) child care provider characteristics to perceived child care quality (provider reports of caregiving behaviours, mother‐provider caregiving relationship) and maternal well‐being (work‐family conflict, depressive symptoms). Results from phone interviews with 187 FFN providers receiving public subsidies indicated that even after controlling for familial status or household income, caregiver perceptions of higher quality care were associated with higher education levels, greater attachment to child care as a job; and lower provider depressive symptoms. After controlling for familial status, data analysed from a subset of 51 mother‐provider pairs, indicated that mothers using care from providers who reported higher quality parent‐caregiver social relationships reported lower work‐family conflict and depressive symptoms. This study suggests mothers who have providers with whom they have good caregiving interactions may experience positive social support and psychological crossover dynamics associated with mother well‐being.