Asymbolic and symbolic play: Developmental perspectives in the treatment of disturbed children

“Put a lot of store on a child's ability to play. If a child is playing, there is room for a symptom or two, and if a child is able to enjoy playing, both alone and with other children, there is no very serious trouble afoot.”     

Why interleaving enhances inductive learning: The roles of discrimination and retrieval

Kornell and Bjork (Psychological Science 19:585–592, 2008) found that interleaving exemplars of different categories enhanced inductive learning of the concepts based on those exemplars. They hypothesized that the benefit of mixing exemplars from different categories is that doing so highlights differences between the categories. Kang and Pashler (Applied Cognitive Psychology 26:97–103, 2012) obtained results consistent with this discriminative-contrast hypothesis: Interleaving enhanced inductive learning, but temporal spacing, which does not highlight category differences, did not. We further tested the discriminative-contrast hypothesis by examining the effects of interleaving and spacing, as well as their combined effects. In three experiments, using photographs of butterflies and birds as the stimuli, temporal spacing was harmful when it interrupted the juxtaposition of interleaved categories, even when total spacing was held constant, supporting the discriminative-contrast hypothesis. Temporal spacing also had value, however, when it did not interrupt discrimination processing.     

Winnicott's children: The holding environment and therapeutic communication in brief and non-intensive work

This paper discusses brief and non-intensive work using a Winnicottian framework for understanding the processes involved. The importance of play, communication and interpretation are considered within the careful establishment of a unique holding environment for each patient. Parallels are drawn with ordinary development and care of the infant and young child. Two clinical examples are given to illustrate these concepts. The first describes the treatment of parents and children following the accidental death of the youngest child, and the second describes time-limited work with a sexually abused and abusing teenage boy. The value of providing a range of psychoanalytic treatments to meet the range of needs of patients is discussed. The importance of conceptualizing such treatments in ways that do not imply that they are ‘diluted’ psychoanalysis is also stressed, particularly with a view to the increasing pressure on therapists to offer help to as many children as possible within limited treatment time.     

Detection of Malingering in Psychiatric Unit and General Population Prison Inmates: A Comparison of the PAI,SIMS, and SIRS

To investigate the internal validity of Rorschach profile analysis, a repertory grid technique was used, with 47 undergraduate Ss, to assess relationships between four constructs referring to the ‘determinant’ properties of inkblots, and four constructs referring to their supposed psychological concomitants. The grids were analysed by a computer program COIN, which produces a composite grid, indicating the pattern of construct relationships characteristic of the whole sample. Results indicated a common pattern of construct relationships which was significant over and above individual variations. This pattern, however, was not the one claimed by Rorschach and assumed in conventional profile analysis of Rorschach protocols.     

Correcting Too Much or Too Little? The Performance of Three Chi-Square Corrections

This simulation study investigates the performance of three test statistics, T₁, T₂, and T₃, used to evaluate structural equation model fit under non normal data conditions. T₁ is the well-known mean-adjusted statistic of Satorra and Bentler. T₂ is the mean-and-variance adjusted statistic of Sattertwaithe type where the degrees of freedom is manipulated. T₃ is a recently proposed version of T₂ that does not manipulate degrees of freedom. Discrepancies between these statistics and their nominal chi-square distribution in terms of errors of Type I and Type II are investigated. All statistics are shown to be sensitive to increasing kurtosis in the data, with Type I error rates often far off the nominal level. Under excess kurtosis true models are generally over-rejected by T₁ and under-rejected by T₂ and T₃, which have similar performance in all conditions. Under misspecification there is a loss of power with increasing kurtosis, especially for T₂ and T₃. The coefficient of variation of the nonzero eigenvalues of a certain matrix is shown to be a reliable indicator for the adequacy of these statistics.     

Maternal Role Confusion: Relations to Maternal Attachment and Mother–Child Interaction from Infancy to Adolescence

Self‐reports of role confusion with the parent in childhood are associated with a variety of adverse outcomes. However, role‐confusion has been studied primarily from the point of view of the child. The current study evaluated an instrument for assessing role confusion from maternal interviews rather than from child observations or self‐reports in adulthood. Fifty‐one mothers participating in a longitudinal study since their own child's infancy were administered the Experiences of Caregiving Interview (C. George & J. Solomon, 1996) when the child was age 20. Interviews were coded using the newly developed Parental Assessment of Role Confusion (PARC; L. Vulliez‐Coady & K. Lyons‐Ruth, 2009). Maternal PARC scores were related to observational measures of role‐confusion in interaction with the child both in infancy and late adolescence. PARC scores also were related to mothers’ hostile‐helpless states of mind on the Adult Attachment Interview (C. George, N. Kaplan, & M. Main, 1984, 1985, 1986) and to the extent of Unresolved loss, but not Unresolved Trauma. PARC scores also were related to mothers’ self‐reports of helplessness experienced in the parenting role. Discriminant validity of the PARC was demonstrated in that role confusion on the PARC was not related to hostile or disoriented forms of parent–child interaction. Implications for clinical assessment of role confusion are discussed.     

Occupational Therapists' Experience Concerning Occupational Performance in Adults With Asperger Syndrome

Persons with Asperger Syndrome often seem to have difficulty performing everyday occupations. This study aimed to describe occupational therapists' experience concerning abilities to occupational performance among adults with Asperger Syndrome. Data were collected in interviews with eight occupational therapists and analyzed using a qualitative method. Results showed that clients with Asperger Syndrome often possess abilities but seem to have difficulties knowing when, where, and how they should use them. The ability to adapt behavior in accordance with cues from the environment was identified as the core category. Environment plays a major role in how these persons interact in different situations.     

Extreme outcome expectations and affect intensity

Two studies tested the hypothesis that extreme outcome expectations are associated with affect intensity. Study 1 (N=104) measured extreme outcome expectations in response to one's idiosyncratic goals, and Study 2 (N=93) measured extreme outcome expectations in response to common life events. Higher levels of affect intensity were associated with higher levels of extreme outcome expectations in both studies. The association between affect intensity and extreme outcomes expectations held even after controlling for shared variance with other affective variables (i.e., trait pleasant affect, trait unpleasant affect, affect variability) and other variables that might overlap with extreme outcome expectations (i.e., optimism, pessimism).     

Effects of Personal Epistemology on the Understanding of Multiple Texts

We examined whether the text understanding of students holding naïve and sophisticated epistemological beliefs was differentially affected by text format, also controlling for effects of gender, word decoding, and prior knowledge on understanding. The participants were 39 Norwegian first-year teacher students, and the topic of reading was attention-deficit hyperactivity disorder (ADHD). It was found that only readers holding sophisticated epistemological beliefs displayed adequate understanding when reading multiple, partly conflicting, texts about ADHD, whereas students holding naïve epistemological beliefs gained better understanding when reading a single textbook-like source with identical content. This finding, however, depended on the level of understanding being measured by the criterial task, with only the task measuring deeper situational text understanding showing an interaction between epistemological beliefs and text format. This study provides evidence that not only knowledge itself, but also personal beliefs about knowledge, may enhance or constrain deeper understanding of multiple texts.     

Inhibition and working memory in young preschool children with symptoms of ADHD and/or oppositional-defiant disorder

Background: Early symptoms of attention deficit/hyperactivity disorder (ADHD) and oppositional-defiant disorder (ODD) are associated with deficits in cognitive self-regulatory processes or executive functions (EF)s. However, the hypothesis that neurocognitive deficits underlying the two disorders are already evident during early preschool years still has limited empirical support. The present study investigated associations between symptoms of ADHD and/or ODD and two core EFs, inhibition and working memory, in a large nonclinical sample of 3-year old children. Method: Participants were 1045 children (554 boys, age 37–47 months), recruited from the population based Norwegian Mother and Child Cohort Study (MoBa). Relations between behavioral symptoms and measures of inhibition and working memory were studied both categorically and dimensionally. Results: Children with co-occurring symptoms of ADHD and ODD performed at a significantly lower level than typically developing children in 4 out of 5 EF measures. Symptoms of ADHD, both alone and in combination with ODD, were associated with reduced performance on tests of inhibition in the group comparisons. Dimensional analyses showed that performance within both EF domains contributed to variance primarily in ADHD symptom load. The associations between test results and behavioral symptoms remained significant after gender and verbal skills had been controlled. Conclusion: Young preschoolers show the same pattern of relations between EF and behavioral symptoms of ADHD and/or ODD as previously described in older children diagnosed with ADHD and/or ODD. Effect sizes were generally small, indicating that measures of EF have limited clinical utility at this stage in development.