Parent–Child Interaction Therapy with Toddlers in a community-based setting: Improvements in parenting behavior,emotional availability,child behavior,and attachment

Parent–Child Interaction Therapy with Toddlers (PCIT-T) is a new attachment-based parenting intervention designed to meet the needs of children aged 12–24 months presenting with challenging behaviors. This study examined outcomes of the first phase of PCIT-T, Child Directed Interaction–Toddler (CDI-T), 4-months post treatment. Participants were 56 toddlers (Child Mage = 19.13 months) referred to receive CDI-T over an 8-week period at an Australian community-based child behavior treatment clinic for treatment of difficult toddler behaviors. Participants completed questionnaires and observational measures at baseline (Time 1), post-treatment (Time 2), and 4-month follow-up (Time 3). At both Time 2 and Time 3, there were statistically significant increases in observed positive parenting skills and emotional availability and decreases in negative parenting behaviors and child noncompliance. There were also significant improvements in parent-reported child externalizing and internalizing behaviors, parental stress, and maternal depression. There was a pattern of a shift away from attachment insecurity and attachment disorganization. Results suggest that the CDI-T phase of PCIT-T is a promising intervention for toddlers presenting with behavioral issues. Future studies should be conducted to assess efficacy in other settings, using larger samples and utilizing randomized controlled designs.     

A Loss of Judgment: The Dismissal of the Judicial Conscience in Recent Christian Ethics

Christian ethicists have neglected conscience, understood as an individual's moral self‐awareness before a locus of accountability and judgment, over the last few decades. The aim of this essay is to suggest how this neglect came about. I draw on the work of Paul Lehmann and Oliver O'Donovan to illustrate how ethicists in the twentieth century became suspicious of conscience because of its association with the alleged ahistorical individualism of Immanuel Kant's work. I argue that a social‐historicist conception of conscience, such as H. Richard Niebuhr offered, attempts to save conscience from this suspicion. Ironically, however, Stanley Hauerwas's development of Niebuhr's historicist, communitarian approach to conscience, appears to have led to a dismissal of conscience. I conclude with a brief comment about what this dismissal has cost contemporary Christian ethics, namely the Christian tradition's basic commitment to the singularity of an individual's accountability before God.     

Obese, older adults with knee osteoarthritis: weight loss, exercise, and quality of life.

This study examined the effects of dietary weight loss and exercise on the health-related quality of life (HRQL) of overweight and obese, older adults with knee osteoarthritis. A total of 316 older men and women with documented evidence of knee osteoarthritis were randomly assigned to 1 of 4 18-month interventions: dietary weight loss, exercise, dietary weight loss and exercise, or healthy lifestyle control. Measures included the SF-36 Health Survey and satisfaction with body function and appearance. Results revealed that the combined diet and exercise intervention had the most consistent, positive effect on HRQL compared with the control group; however, findings were restricted to measures of physical health or psychological outcomes that are related to the physical self.     

Methodological issues in the assessment of sustained performance

In both military and industrial work settings, it has become desirable, and in many instances necessary, to require sustained performance beyond the apparently optimal 8-h workday. Research in this area may be viewed historically as having been focused in three major areas: (1) determining appropriate methodologies for measuring sustained performance, (2) investigating factors that influence sustained performance, and (3) searching for ways to enhance performance during sustained operations. On the basis of discussions held in Toronto in August 1984, observations are drawn and recommendations are made concerning the directions and content of future research.