The Effectiveness of Audiovisual Self-Instructional Materials in Teaching Child-Care Skills to Parents with Intellectual Disabilities

Children of parents with intellectual disabilities are at risk for neglectful care due to parenting skill deficiencies. Previous studies have shown that parents with intellectual disabilities can improve child-care skills with intensive behavioral training, but self-instruction has not been explored. We evaluated the efficacy of self-instructional pictorial child-care manuals with and without accompanying audiotaped instruction using a multielement design with 13 parents with intellectual disabilities. The self-instructional materials were effective in teaching 22 of 26 skills to levels seen in parents without intellectual disabilities. Eighty-one percent of the skills maintained over a 1-15 month follow-up period and self-learning effects were replicated when the parents received self-instructional materials for the original no-training control skill. Despite the low literacy skills of the parents, for most of them no advantage was found in adding the audiotape to the illustrations. Three parents only reached criterion after an audiotape was added to the manual alone skill. Consumer satisfaction ratings were uniformly high and those parents who stated a preference, preferred the pictorial manuals without, as opposed to with, the audiotape. These findings suggest that a majority of parents with intellectual disabilities may improve their parenting skills with low cost, low tech, self-instructional materials.     

The Port-Royal Logic's Theory of Argument

This is a critical examination of Antoine Arnauld's Logic or the Art of Thinking (1662), commonly known as the Port-Royal Logic. Rather than reading this work from the viewpoint of post-Fregean formal logic or the viewpoint of seventeenth-century intellectual history, I approach it with the aim of exploring its relationship to that contemporary field which may be labeled informal logic and/or argumentation theory. It turns out that the Port-Royal Logic is a precursor of this current field, or conversely, that this field may be said to be in the same tradition.     

Academic and nonacademic community psychologists: An analysis of divergence in settings,roles, and values

Differences between academic and nonacademic psychologists may be viewed as immutable, worthy of encouragement, or as a situation which the latter group must remedy by becoming “more scientific.” We contend that for community psychology, which perceives theory, application, and action as valid aspects of its broad paradigm, it would be most adaptive toexplicitly address the challenge of managing a balance between diversity and cohesion. There are signs that the present leadership of Division 27 recognizes aspects of this problem and is reconsidering the role and purpose of the Division as an organizing framework for the discipline (Trickett, Note 3). It is our view that engendering a commitment from various subgroups within the membership to addressing the disparities revealed by our respondents is required for resolving what we see as major obstacles to future development of the discipline. The conceptual and empirical approach presented in this study can be an important tool in forging constructive solutions to the challenges we have presented.     

Reinventing the Self in the Face of Received Transgenerational Hatred in the African American Community

There are many clinical methods for understanding and transforming the impact of historical trauma, and reinventing the self in the clinical process. However, the approach advocated here requires that regardless of what clinical method of intervention is chosen, a particular strand must run through the process of treatment to produce durable and meaningful change. This strand must run through psychoanalysis, creative and expressive arts therapies, as well as many forms of intervention in aggrieved communities. The strand includes understanding human suffering, the way that particular suffering is mentalized by the victimized group and subsequently reenacted by generations to come. In technical terms there must first be many profiles of understanding of the historical injury. Then there must be an understanding of how the aggrieved community has stored in their communal memory those psychological hurts—those feelings of humiliation and changing historical accounts of the actual injuries. Subsequently those sendimentations of historical grievances are enacted within the transference in the clinical situation where the grievances are not only staged, but re-staged, distorted or extended. Then comes the most decisive obligation the clinician has towards the analysand, patient, client or community that is attempting to transform itself. That decisive obligation is to extract the errand or ambush towards extinction and to undergo the unpleasant drudgery of constantly engaging the mandate to die or destroy oneself in order to find new and more flexible forms of adaptation.     

School programs targeting stress management in children and adolescents: A meta-analysis

Introduction

This meta-analysis evaluates the effect of school programs targeting stress management or coping skills in school children.

Methods

Articles were selected through a systematic literature search. Only randomized controlled trials or quasi-experimental studies were included. The standardized mean differences (SMDs) between baseline and final measures were computed for experimental and control groups. Experimental groups were groups that either received an intervention of (a) relaxation training, (b) social problem solving, (c) social adjustment and emotional self-control, or (d) a combination of these interventions. If no baseline measurement was available, SMDs were calculated between final measures of the groups. The overall pooled effect size was calculated and the pooled effect sizes of improvement on stress, coping, (social) behavior, and self-efficacy by random effects meta-analysis. The dependence of the results on study characteristics (i.e. methodological quality and type of intervention) was evaluated using meta-regression analysis.

Results

Nineteen publications met the inclusion criteria of controlled trials for class programs, teaching coping skills or stress management. Overall effect size for the programs was − 1.51 [95% confidence interval (CI) − 2.29, − 0.73], indicating a positive effect. However, heterogeneity was significant (p < .001). Sensitivity analyses showed that study quality and type of intervention were sources of heterogeneity influencing the overall result (p values < .001). The heterogeneity in quality may be associated with methodological diversity and differences in outcome assessments, rather than variety in treatment effect. Effect was calculated per intervention type, and positive effects were found for stress symptoms with a pooled effect size of − 0.865 (95% CI: − 1.229, − 0.502) and for coping with a pooled effect size of − 3.493 (95% CI: − 6.711, − 0.275).

Conclusion

It is tentatively concluded that school programs targeting stress management or coping skills are effective in reducing stress symptoms and enhancing coping skills. Future research should use clear quality criteria and strive for less diversity in methodology and outcome assessment.     

Integrating the criminal justice system into mental health service delivery: the worcester diversion experience

The substantial number of persons with mental illness encountered in many sectors of the criminal justice system has spurred actors from various agencies within that system to take actions aimed at reducing the growth of this population. These actions have included the development of specialty police units, jail diversion programs, and other mechanisms for channeling persons with mental illness out of the criminal justice system and into mental health treatment. The courts, too, have become involved in this effort with the recent development of the "mental health court," the latest of the "specialty" or "problem solving courts." These courts have not been without their critics, however, nor are they the only feasible approach to court-based diversion. This paper identifies and explores a range of options for structuring the relationship between criminal courts and local mental health systems. Beginning with a discussion of the rationale motivating the development of mental health courts, two alternatives to this specialty court model are discussed. One involves judges dealing with defendants having mental illness and substance abuse on a case-by-case basis. The other takes advantages of linkages that may already exist between most courts and the mental health providers who conduct their forensic assessments, expanding the role of these providers to serve as boundary spanners between courts and the components of local mental health systems. Regardless of the model adopted, however, appropriate linkages must exist between the courts and relevant providers. A case study is provided that demonstrates how the status of a locale's linkages can be evaluated and how the information derived from such evaluation can be used to improve the linkages between police, courts, and health and human services agencies.     

Alfred Schutz: Philosopher and Social Scientist

Aron Gurwitsch's critique of Schutz's essay The Stranger is the starting point for this consideration of Schutz's relationship with phenomenology. This relationship is based on Schutz's emphasis on the value of the average as a phenomenological structure. In opposing sociology to philosophy, Gurwitsch takes this value as inferior in comparison with what he sees as cardinal issues of transcendental phenomenology. What Gurwitsch finds incompatible with phenomenological inquiry – the idea and practice of the natural attitude within the social sphere – Schutz turns into the core of his philosophy. The phenomenology of the natural attitude is as essentially philosophical as any reflectively practiced human science. The problem of how everydayness is constituted requires a phenomenological insight that leads the explorer – through reconstructing the meaning in terms of the mundane – straight to the origin.