Improving executive functioning in children with fetal alcohol spectrum disorders

An extensive body of literature has documented executive function (EF) impairments in children with fetal alcohol spectrum disorders (FASD); however, few studies have aimed specifically at improving EF. One treatment program that shows promise for children with FASD is the Alert Program for Self-Regulation®, which is a 12-week treatment specifically designed to target self-regulation, a component of EF. The present study sought to examine if Alert would produce improvements in self-regulation that would generalize to other aspects of EF, behavior, and social skills in children with FASD. Twenty-five children aged 8–12 years diagnosed with an FASD were assigned in alternating sequence to either an immediate treatment (TXT) or a delayed treatment control (DTC) group. Both groups received a comprehensive evaluation of EF at baseline and upon completing therapy (TXT), or after a 12- to 14-week interval from baseline (DTC). Parents also completed questionnaires assessing EF and behavior at both time points. For the TXT group only, parent questionnaires were readministered at 6-month follow-up. At the 12-week follow-up, the TXT group displayed significant improvements in inhibitory control and social cognition. Parents of children in the TXT group reported improved behavioral and emotional regulation, as well as reduced externalizing behavior problems. These behavioral improvements along with further improved parent-rated inhibitory control was maintained at the 6-month follow-up. The EF disabilities in children with FASD can be remediated through a targeted treatment approach aimed at facilitating self-regulation skills.     

Implementation Research and Wraparound Literature: Building a Research Agenda

We used the framework identified by the National Implementation Research Network’s (NIRN) analysis of 35 years of implementation outcomes literature from diverse fields of endeavor to review the current state of wraparound implementation research. Model definition, model fidelity and intervention outcomes were areas of relatively greater development, while target population, theory base and theory of change, organizational context and readiness, staff selection, training, supervision or coaching, purveyor selection, and program installation were less examined or even overlooked. We conclude with suggestions for building a research agenda on wraparound implementation.     

Parent-adolescent relationships and social adjustment: the case of a collectivistic culture

This study examined how parent-adolescent relationships are related to adolescent loneliness, interpersonal difficulties and school adjustment among Israeli Arabs. Two hundred and thirty-one 11th graders (103 boys and 128 girls) and their homeroom teachers participated. Four groups of adolescents were identified according to parenting practice profiles: Adolescents in the harsh parenting group reported the highest levels of loneliness, those in the distant and mixed groups reported midway levels of loneliness, and those in the warm group showed the lowest degree of loneliness and the lowest levels of interpersonal problems. Overall, boys reported higher levels of peer-related loneliness and lower levels of affinity for aloneness than girls. Gender interacted significantly with parenting group, with girls in the harsh parenting group exhibiting greater parent-related loneliness and affinity for loneliness, while boys exhibited more peer-related loneliness. The important role that parents play in their children's social adjustment is discussed in relation to gender and culture.     

Sustaining the Utilization and High Quality Implementation of Tested and Effective Prevention Programs Using the Communities That Care Prevention System

This paper describes the extent to which communities implementing the Communities That Care (CTC) prevention system adopt, replicate with fidelity, and sustain programs shown to be effective in reducing adolescent drug use, delinquency, and other problem behaviors. Data were collected from directors of community‐based agencies and coalitions, school principals, service providers, and teachers, all of whom participated in a randomized, controlled evaluation of CTC in 24 communities. The results indicated significantly increased use and sustainability of tested, effective prevention programs in the 12 CTC intervention communities compared to the 12 control communities, during the active phase of the research project when training, technical assistance, and funding were provided to intervention sites, and 2 years following provision of such resources. At both time points, intervention communities also delivered prevention services to a significantly greater number of children and parents. The quality of implementation was high in both conditions, with only one significant difference: CTC sites were significantly more likely than control sites to monitor the quality of implementation during the sustainability phase of the project.     

Perceived parenting style, self-esteem and psychological distress in adolescents with heart disease

The aim of the study was to assess the relationships between perceived parenting style, depressed mood, anxiety and self-esteem in adolescents with heart disease compared with healthy adolescents. Forty-five adolescents, aged 12-18 with congenital or acquired heart disease and 50 healthy age-matched adolescents answered perceived parental behaviour, self-esteem, depressed mood and anxiety questionnaires. The study group reported higher perceived acceptance and lower perceived parental control than healthy adolescents, but similar levels of depressed mood, anxiety and self-esteem. Fischer's r-to-z transformation and regression analyses showed different associations between perceived parenting style and depressed mood, anxiety and self esteem. In the study group, higher perceived parental acceptance was associated with lower depressed mood and higher self-esteem, whereas these associations were not significant in the control group. In the control, but not the study group, higher perceived parental control was associated with lower depressed mood and lower anxiety. Parenting style proved to exert a differential effect on adolescents with and without heart disease. For the former, perceived parental acceptance had a more substantial effect on psychological well-being than perceived parental control. Professionals caring for these adolescents should be aware of the special importance of parenting style on the well-being of adolescents with heart disease, and address this issue in the clinical setting with the patients and their parents.     

Circumcerebral application of weak complex magnetic fields with derivatives and changes in electroencephalographic power spectra within the theta range: implications for states of consciousness

Relative power within the delta, theta, low-alpha, high-alpha, and gamma electroencephalographic spectra of 8 human volunteers was recorded over the left and right frontal, temporal, parietal, and occipital lobes during and after the circumcerebral application through an array of 8 solenoids of 6 different configurations of weak (5 to 10 microTesla) magnetic fields. The solenoids were equally spaced around the subject's head along a horizontal plane above the ears. An approximately 30% increase in power within the theta band occurred transcerebrally during the application of a specific configuration, previously shown to affect subjective time, involving 20-msec. rates of change in the duration of delivery of the magnetic fields to each successive solenoid. Compared to the left hemisphere, the right hemisphere displayed a 20% increase in power within the 5.0- to 5.9-Hz range for all 6 configurations. The results suggest that very complex magnetic fields with the appropriate temporal parameters rotated around and within brain space can interact with the cerebral processes, measured as specific hands of frequencies, generating consciousness. Implications for the roles of hippocampal theta activity, cortical resonance, and Goldstone bosons in these processes are discussed.     

Experimental simulation of a haunt experience and elicitation of paroxysmal electroencephalographic activity by transcerebral complex magnetic fields: induction of a synthetic "ghost"?

To test the hypothesis that experiences of apparitional phenomena with accompanying fear can be simulated within the laboratory, a 45-yr.-old journalist and professional musician who had experienced a classic haunt four years previously was exposed to 1 microTesla, complex, transcerebral magnetic fields. Within 10 min. after exposure to a frequency-modulated pattern applied over the right hemisphere, the man reported "rushes of fear" that culminated in the experience of an apparition. Concurrent electroencephalographic measurements showed conspicuous 1-sec.-to-2-sec. paroxysmal complex spikes (15 Hz) that accompanied the reports of fear. A second magnetic field pattern, applied bilaterally through the brain, was associated with pleasant experiences. The subject concluded that the synthetic experience of the apparition was very similar to the one experienced in the natural setting. The results of this experiment suggest that controlled simulation of these pervasive phenomena within the laboratory is possible and that this experimental protocol may help discern the physical stimuli that evoke their occurrence in nature.     

PREGNANT WOMEN'S RECOLLECTIONS OF EARLY MATERNAL BONDING: ASSOCIATIONS WITH MATERNAL–FETAL ATTACHMENT AND BIRTH CHOICES

Recollections of own maternal care measured by parental bonding were found to be important in the pregnant woman's construction of herself as a mother. Although these recollections were studied with regard to various variables, there is a dearth of studies associated with pregnancy and childbirth. In this cross‐sectional study, 341 pregnant women were recruited. Measures included a Sociodemographics–Obstetric History Questionnaire; the Childbirth Choices Questionnaire (H. Preis, M. Gozlan, U. Dan, & Y. Benyamini, 2018); the Parental Bonding Instrument (G. Parker, H. Tupling, & L.B. Brown, 1979); a question regarding the planned presence of the woman's mother at delivery; and the Maternal‐Fetal Attachment Scale (M.S. Cranley, 1981). Parental recollections of Care were associated with fewer natural birth choices (hence, a more “medicalized” delivery), lower maternal–fetal attachment, and a wish for the mother's mother to be present at the birth. Parental recollections of Encouragement of Behavioral Freedom in childhood were associated with more natural choices regarding childbirth. In addition, women with higher scores on the parental bonding Denial of Autonomy factor reported stronger maternal–fetal attachment. Thus, early recollections of experiences with caregivers as manifested in parental bonding may be a possible influence on the transition to motherhood, and working through possible difficulties associated with these recollections may improve adjustment to motherhood.     

Whose Eucharist? Eucharistic Identity as Historical Subject

Through the experiences of a medieval historian and the experiences which have led to her engagement with the Eucharist in the Middle Ages this paper traces some of the ways in which medieval people assumed or discarded identities through their relationships with the Eucharist. The many ways in which the image encompassing an incarnate God in a wheaten disc allowed individual and groups to assert selfhood, difference and specificity are considered through examples of liturgical, mystical and theological relationships, articulations, of the Eucharist. The centrality of Jews as affirmers of Eucharistic truth in late medieval culture through the rejection and violence attributed to them is offered as a necessary facet of the Eucharist's suggestive possibilities. Eucharist is shown as a symbol of interiority and intrinsic value, opposed to Jewish literality and misrecognition of value, ideas which created a link between talk about the Eucharist and discussion of usury. Lastly, some of the historical interests of Jewish writers in the historical links between Jews and the Eucharist are explored.