Labeling: A study of an “autistic” child

Abstract

In this issue we are able to present reports from two very different meetings which, nevertheless, have particular significance for the developing field of family therapy, particularly as it relates to theory and practice. The first is a report by Professors Jeanne L. Thomas and Cecil J. Simons of West Virginia University on the eighth biennial conference on Life-Span Developmental Psychology, held in May 1982, in Mor-gantown, West Virginia. This conference was one of a series sponsored by West Virginia University since 1970 dealing with theoretical and empirical issues in the study of life-span human development. This particular conference highlighted two themes involving the impact of specific historical context on family development as well as the influence of the family on the individual's own experience of these historical events. This kind of broad and in-depth exploration of the multiple factors involved in the historical as well as the personal context of an individual's development promises to provide exciting new opportunities for clinicians and teachers in our field.

The second report from James E. Durkin, Ph.D., of Lincoln University deals with a recent conference on Epistemology, Psychotherapy, and Psychopathology in Houston, September 1982, sponsored by the Houston Galveston Family Institute. Outstanding theoreticans and clinicans in the field of family therapy and systems theory were present, and their exciting discussions have been put into an interesting framework by Dr. Durkin, who has his own way of integrating these issues based on his long work in the application of general systems theory to the field of group psychotherapy. —I. A.     

Reliability of Ratings of Children’s Expressive Reading

This study examined ratings of fourth graders’ oral reading expression. Randomly assigned participants (n = 36) practiced repeated readings using narrative or informational passages for 7 weeks. After this period raters used the Multidimensional Fluency Scale (MFS) on two separate occasions to rate students’ expressive reading of four equivalent passages. Results of this generalizability study showed that a minimum of two and preferably three equivalent passages, two raters, and one rating occasion are recommended to obtain reliable ratings. This research substantiates the reliability of the MFS and demonstrates the importance of raters collaborating and finding texts at students’ independent reading levels.     

Does body satisfaction differ between gay men and lesbian women and heterosexual men and women? A meta-analytic review

Studies investigating body image satisfaction among groups of different sexual orientations (i.e., gay men, lesbian women, and heterosexual men and women) have produced equivocal findings. To synthesise the available research, 27 studies (20 published and 7 unpublished) were meta-analysed (N=5220). Comparisons between heterosexual (n=1397) and gay men (n=984) produced a small effect size, with the former being slightly more satisfied with their bodies. An even smaller difference was observed for studies comparing heterosexual (n=1391) and lesbian women (n=1448), with greater levels of body satisfaction being evidenced by the latter group. Tests of homogeneity for each effect size were found to be highly significant. In an attempt to identify variables that may be responsible for the observed heterogeneity, the following categorical factors were assessed: the measures used to evaluate body satisfaction, date of study (1980s versus 1990s+), publication status (published or unpublished), and body weight. The results of this exploratory search for potential moderator variables as well as limitations of the current meta-analysis are discussed.     

GENDER-RELATED DISCOURSES AS MEDIATORS IN THE ASSOCIATION BETWEEN INTERNALIZATION OF THE THIN-BODY IDEAL AND INDICANTS OF BODY DISSATISFACTION AND DISORDERED EATING

This study examined whether the gender-related discourses of self-objectification, self-silencing, and anger suppression mediated the association between internalization of the thin-body ideal and body dissatisfaction and eating pathology. We employed a cross-sectional design to study both university ( n  = 140) and community ( n  = 76) samples of women from Ireland ranging from 17 to 30 years of age ( M  = 21.48,  SD  = 3.05). Structural equation modeling was used to test for mediation, with the final model suggesting that gender-related discourses (silencing the self/anger suppression and body surveillance) mediated the association between thin-body ideal internalization and attitudes and behaviors characteristic of disordered eating. Limitations of the current study and directions for future research are highlighted.     

Effects of receptive language training on receptive and expressive language development

The effects of a six-month training program in receptive language on receptive and expressive language development were investigated. Developmentally retarded preschoolers were pretested and posttested on one standardized test of receptive language and two tests of expressive language. Both the training and control groups participated in a preschool program. In addition, the training group received a two-sequence training program: (1) reinforcement for matching responses to modeling cues and accompanying verbal requests, and (2) reinforcement for appropriate responses to verbal requests alone. The training group demonstrated a significant increase in appropriate responses to verbal request over base-rate performance after the training and also demonstrated a significantly improved posttest performance on one test of expressive language as compared to the control group.The authors wish to thank Mrs. Helen Huggins and the staff of the Aid to Retarded Children's Preschool Training Center, San Francisco, California, for their assistance in this study. A modified version of this paper was presented at the Gatlinburg Conference on Mental Retardation, March, 1974, Gatlinburg, Tennessee.     

Altering Impulsive Decision Making With an Acceptance-Based Procedure

Delay discounting is one facet of impulsive decision making and involves subjectively devaluing a delayed outcome. Steeply discounting delayed rewards is correlated with substance abuse and other problematic behaviors. To the extent that steep delay discounting underlies these clinical disorders, it would be advantageous to find psychosocial avenues for reducing delay discounting. Acceptance-based interventions may prove useful as they may help to decrease the distress that arises while waiting for a delayed outcome. The current study was conducted to determine if a 60–90 minute acceptance-based training would change delay discounting rates among 30 undergraduate university students in comparison to a waitlist control. Measures given at pre- and posttraining included a hypothetical monetary delay discounting task, the Acceptance and Action Questionnaire-II (AAQ-II), and the Distress Tolerance Scale. Those assigned to the treatment group decreased their discounting of delayed money, but not distress intolerance or psychological inflexibility when compared to the waitlist control group. After the waiting period, the control group received the intervention. Combining all participants’ pre- to posttreatment data, the acceptance-based treatment significantly decreased discounting of monetary rewards and increased distress tolerance. The difference in AAQ-II approached significance. Acceptance-based treatments may be a worthwhile option for decreasing delay discounting rates and, consequently, affecting the choices that underlie addiction and other problematic behaviors.     

Advocacy processes in mental health: a qualitative study

Advocates perform an important role in representing the rights of mental health consumers, especially since mental health consumers are often marginalized. Little is known about the processes advocates use to assist mental health consumers in navigating the health care system. This study details the manner in which advocates work together with mental health consumers and health professionals through presenting a qualitative synthesis of 60 case records. Four main themes emerged: negotiating on behalf of consumers during meetings with health professionals; liaising between consumers and health professionals outside of meetings; supporting consumer decision making without the involvement of health professionals; and involvement in legal processes. The findings of this study demonstrated that advocates were primarily oriented toward the protection of negative rights, but they also promoted positive rights.