A review of attachment-based parenting interventions: Recent advances and future considerations

Research evidence has shown that in childhood, a secure attachment to a reliable caregiver is important for future mental health and well-being. The theoretical and research basis for attachment theory continues to grow. As attachment theory has become more widely adopted there are challenges and opportunities both theoretically and in terms of its clinical use. Disordered attachment has been linked to psychopathology including internalising and externalising disorders. However, there are ongoing implications for researchers and clinicians as only the most extreme forms of attachment disorders are included in the current diagnostic systems. A wide range of reliable and validated observational assessments to classify attachment are available. Owing to the growing popularity of attachment-based interventions there is a need to develop assessments which are practical for use in clinical settings. The use of attachment-based parenting interventions in clinical settings is increasing as they have been found to be effective and relevant. This growth presents opportunities to further refine these interventions, so they are easy to deliver in clinical practice and tailored to different populations. Attachment-based interventions are being widely used in Australia, and this has led to a need to understand and adapt the theory, assessments, and interventions to this context. Attachment-based interventions demonstrate the importance of relationships and provide an important tool to support children and families. For psychologists here in Australia there are many opportunities to develop measures and interventions based on attachment theory that fit into the Australia context.     

From “4Rs and 2Ss” to “Amaka Amasanyufu” (Happy Families): Adapting a U.S.-based Evidence-Based Intervention to the Uganda Context

In Uganda, one in five children presents mental health challenges, including disruptive behavior disorders (DBDs). DBDs can persist through adulthood and result in negative outcomes. Effective interventions for DBDs have been developed and tested in high-poverty communities in developed countries. Yet, most African countries, such as Uganda, lack such interventions. This paper describes the adaptation process of an evidence-based intervention of U.S. origin to optimize fit to context with intervention fidelity, as part of a randomized trial conducted with youth that exhibit behavioral challenges and their caregivers in 30 schools in Uganda. The process involved: initial meetings with headteachers and teachers to introduce the study and the main concepts of the intervention; initial manual review focusing on 4Rs and 2Ss content by the Uganda team; engagement of community stakeholders for additional feedback on content and cultural relevance; final revision of the manual; and collection of children’s drawings for the illustration of the manual. This paper describes both similarities and differences between the original and adapted intervention content and methods of delivery. The findings also highlight the importance of involving community stakeholders in the adaptation process.     

Does Religious Activity Distinguish the Mortality Experiences of Older Taiwanese? An Analysis Using Eighteen Years of Follow-Up Data

This paper extends investigation of religiosity and longevity to Taiwan using a 1989 survey: N = 3849, aged 60+, with 18 years of follow-up. Religious activity is measured as worship and performance of rituals. A Gompertz regression, adjusted and non-adjusted for covariates and mediating factors, shows the hazard of dying is lower for the religiously active versus the non-active. Transformed into life table functions, a 60-year-old religiously active Taiwanese female lives more than 1 year longer than her non-religious counterpart, ceteris paribus. Mainland Chinese migrants are examined carefully because of unique religious and health characteristics. They live longer, but the religiosity gap is similar.

     

Differential impact of parenting sick infants

Parenting a newborn infant has been identified as a significant stressor, and parenting a sick infant evokes an even greater stress. This study evaluated the differential impact of parenting infants with interrupted infantile apnea vs. extremely low birth weight infants. These infants were compared to normal infants on the Bayley Scales of Infant Assessment and the Parenting Stress Index when the infants were 6 months old. Significant effects on the mental index revealed that the low birthweight infants performed more poorly than did the other groups. A stepwise multiple discriminant analysis on the Parenting Stress Index suggested that child adaptability, maternal restrictions, isolation, and health were significant stressors. Mothers of apneic infants were affected most severely by their child's illness. The lower educational level of these mothers may have influenced these findings.     

Towards Including End-Users in the Design of Prosthetic Hands: Ethical Analysis of a Survey of Australians with Upper-Limb Difference

Science and Engineering Ethics - Advances in prosthetic design should benefit people with limb difference. But empirical evidence demonstrates a lack of uptake of prosthetics among those with limb...     

Effects of procedure and outcome accountability on interview validity

This study tested effects of holding interviewers accountable for either the procedure they follow to make interview judgments (procedure accountability) or the accuracy of their judgments (outcome accountability) on interview validity. Undergraduates (N = 338) simulated employment interviewers in an experiment that crossed 2 levels of procedure accountability with 2 levels of outcome accountability. They watched videotapes of 60 managers answering an interview question and rated the managers on leadership potential. The dependent variable was the correlation between their interview judgments and supervisory ratings of the managers' actual leadership performance on the job. Results showed that procedure accountability increased interview validity and outcome accountability lowered it. Participants' apparent attentiveness fully mediated effects of procedure accountability on interview validity.     

Sex differences in communication with close friends: testing Tannen's claims

In 1990 Tannen reported that men have fewer close friends than women, men discuss less intimate topics with their friends than women, and men and women respond differently to close friends' problems. 168 students completed a three-page survey designed to examine Tannen's claims. Consistent with Tannen's observations, men discussed less intimate topics (politics and school or work) with their five closest friends and reportedly were less likely to comfort or listen to their friends' problems than women were. Inconsistent with Tannen's statements, these women and men did not differ in the number of close friends they reported having or in the likelihood of offering advice when presented with a friend's problem. Present self-reports corroborate other researchers who questioned Tannen's findings and concluded that sex differences in interpersonal communication are small.     

The time course of competition for attention: attention is initially labile

Competition for attention between 2 written words was investigated by presenting the words briefly in a single stream of distractors (Experiment 1) or in different streams (Experiment 2-6), using rapid serial visual presentation at 53 ms/item. Stimulus onset asynchrony (SOA) was varied from 0 to 213 ms. At all SOAs there was strong competition, but which word was more likely to be reported shifted markedly with SOA. At SOAs in the range of 13-53 ms the second word was more likely to be reported, but at 213 ms, the advantage switched to the first word, as in the attentional blink. A 2-stage competition model of attention is proposed in which attention to a detected target is labile in Stage 1. Stage 1 ends when one target is identified, initiating a serial Stage 2 process of consolidation of that target.     

Patterns of emotion-specific appraisal,coping, and cardiovascular reactivity during an ongoing emotional episode

The authors examined emotion-specific patterns of appraisal, coping, and cardiovascular reactivity during real ongoing emotional episodes. In this study, 109 participants performed a neutral opinion-expression task, where a confederate elicited anger, shame, or pride using verbal and nonverbal behavior. The authors assessed cognitive appraisals, emotional reactions, coping, outcomes (state self-esteem and outcome satisfaction), and cardiovascular reactivity. Results indicated substantial and theoretically consistent differences between the 3 emotions (and differences from a nonemotion condition) for cognitive appraisals, self-reported coping, behavioral coping, self-esteem, and cardiovascular reactivity. The results are discussed in relation to their implications for emotion theory and for psychological and physical health. Overall, the results suggest that researchers can study emotion-related issues using authentic emotional reactions.