Comparison of blocking strategies informed by precursor assessment to decrease pica

Pica is dangerous behavior and often maintained by automatic reinforcement. We conducted a latency functional analysis (FA) using safe consumption items to verify that pica was maintained in part by automatic reinforcement and exclude participants for whom pica was likely maintained solely by attention. Next, we identified precursors to pica through a probability analysis and conducted a brief blocking assessment for participants' whose pica occurred in the alone and attention conditions of the FA. Finally, we compared blocking precursors with pica, touching an inedible item and the pica itself. Results showed that five of the six participants' pica was likely maintained by automatic reinforcement, and pica decreased during the brief blocking assessment for three of four participants. Results of the blocking comparison showed that blocking behaviors earlier in the response hierarchy was as effective as only blocking pica attempts for two participants and more effective for one participant.     

Do adolescents’ self-concepts moderate the relationship between STEM stereotypes and motivation?

Professionals in science, technology, engineering, and math (STEM) are often stereotyped as geniuses and nerds (e.g., socially awkward). These stereotypes may demotivate some individuals from pursuing or remaining in STEM. However, these beliefs may enhance motivation among individuals who feel that they fit in with the stereotype. Guided by balanced identity theory and expectancy-value theory, our study investigated the effect of trait-based stereotypes about people in STEM among a sample of 256 U.S. high school students (M_age?=?16, 59% girls, 65% Asian, 15% Latinx, 10% White). We assessed students’ trait-based nerd and genius stereotypes about STEM and related self-concepts as well as their STEM motivation (competence and value beliefs). Consistent with balanced identity theory, the effect and direction of endorsing nerd-genius stereotypes was moderated by a student’s own self-concepts. Endorsing stereotypes was negatively related to motivation—but only among those low in the related self-concept. Among those high in related self-concepts (e.g., high in nerd-genius self-concept), endorsing STEM stereotypes (e.g., STEM is for geniuses) was unrelated to STEM motivation. Girls, underrepresented students of color, and potential first-generation college students may especially be negatively affected by the stereotypes due to a greater likelihood that these stereotypes will be incongruent with their self-concepts. Thus, trait-based stereotypes about people in STEM may perpetuate current gaps in STEM.

     

Effectiveness of a trauma/grief-focused group intervention: a qualitative study with war-exposed Bosnian adolescents

The effectiveness and impacts of a school-based, trauma/grief-focused group treatment program for war-exposed youth in Bosnia and Herzegovina were investigated using semistructured focus groups, conducted separately for students and their school counselor group leaders. Overall, students' and leaders' evaluations of the groups were generally positive. General themes of outcomes and impacts perceived by students and group leaders include: acquisition of coping skills and attitudes, willingness to advocate for peers, improved interpersonal relationships, negative impacts, general positive impacts, impacts in the schools, impacts on the group and logistics of the program, and broader impacts on the perception of mental health in the community. The broad positive impacts of this program suggest that trauma/grief-focused group treatment intervention programs targeting trauma-exposed youth may be effective on multiple levels with war-exposed youth and their communities.     

Prioritarianism for Variable Populations

Philosophical discussions of prioritarianism, the view that we ought to give priority to those who are worse off, have hitherto been almost exclusively focused on cases involving a fixed population. The aim of this paper is to extend the discussion of prioritarianism to encompass also variable populations. I argue that prioritarianism, in its simplest formulation, is not tenable in this area. However, I also propose several revised formulations that, so I argue, show more promise.     

Trajectories of maternal depressive symptoms, maternal sensitivity, and children's functioning at school entry

Using data from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development, the authors modeled trajectories of maternal depressive symptoms from infant age 1 month to 7 years. The authors identified 6 trajectories of maternal depressive symptoms: high-chronic, moderate-increasing, high-decreasing, intermittent, moderate-stable, and low-stable. Women on these depression trajectories varied in sociodemographic risk and in changes in observed maternal sensitivity over time. Maternal sensitivity was generally higher and increased when depressive symptoms were low; sensitivity was lower and decreased when depressive symptoms were either high or increasing. Child outcomes at 1st grade were examined by trajectory group. The authors discuss the complexity of disentangling maternal symptoms from maternal sensitivity and sociodemographic risk when predicting children's functioning.     

Building contexts that support effective community responses to HIV/AIDS: a South African case study

In this paper we discuss our conceptualisation of a 'health-enabling social environment', and some of the strategies we are currently using to build social contexts most likely to support effective HIV/AIDS management in southern Africa. In developing these ideas, we draw on our on-going collaboration with residents of Entabeni, a remote rural community in South Africa where 43% of pregnant women are HIV positive. The aim of this collaboration is to facilitate contextual changes that will enable more effective community-led HIV/AIDS management in an isolated area where people have little or no access to formal health or welfare support, and where HIV/AIDS is heavily stigmatised. We give an account of the three phases of collaboration to date. These include research; the dissemination of findings and community consultation about the way forward; preliminary project activities (skills training for volunteer health workers; partnership building and a youth rally) as a way of illustrating what we believe are six key strategies for facilitating the development of 'AIDS-competent' communities: building knowledge and basic skills; creating social spaces for dialogue and critical thinking; promoting a sense of local ownership of the problem and incentives for action; emphasising community strengths and resources; mobilising existing formal and informal local networks; and building partnerships between marginalized communities and more powerful outside actors and agencies, locally, nationally and internationally. We discuss some of the triumphs and trials of this work, concluding with a discussion of the need to set realistic goals when working at the community level in highly conservative patriarchal communities to tackle problems which may be shaped by economic and political processes over which local people have little control.     

Internet-delivered assessment and manipulation of anxiety-linked attentional bias: Validation of a free-access attentional probe software package

It recently has been established within the laboratory that the attentional probe methodology not only can sensitively assess the threat attentional bias associated with anxiety vulnerability, but also can be configured to yield training tasks capable of modifying emotional vulnerability by manipulating such attentional selectivity. In order to appraise and exploit the potential practical applications of such procedures, it is desirable that clinical investigators without specialist equipment should become able to deliver such tasks within field settings. The present research program involved development of a fully customizable attentional probe software package, that delivers assessment and training versions of the probe task across the Internet. Two experimental studies served to validate the assessment and training efficacy of resulting probe task variants, completed remotely by GAD sufferers and nonclinical populations using their own computers. We advise fellow researchers how to freely download this software package for use within their own investigations.     

Ghosts from the past: an examination of romantic relationships and self-discrepancy

Researchers have previously reported a negative association between romantic involvement and the discrepancy between the actual self and the ideal self. The authors present a schema-based model of romantic involvement and self-discrepancy to help explain this association, focusing on the impact of terminated relationships--"ghosts from the past." In Study 1, participants primed with a past relationship reported increased self-discrepancy relative to participants primed with a present relationship. Study 2 indicated that this increased self-discrepancy was the result of reexperiencing emotionally negative past romantic relationships. Study 3 revealed the role of depressive affect in negative past romantic relationships. Finally, Study 4 indicated that depressive affect mediated the relation between reexperiencing negative past romantic relationships and experiencing self-discrepancy.     

Comparing models of helper behavior to actual practice in telephone crisis intervention: a Silent Monitoring Study of Calls to the U.S. 1-800-SUICIDE Network

Models of telephone crisis intervention in suicide prevention and best practices were developed from a literature review and surveys of crisis centers. We monitored 2,611 calls to 14 centers using reliable behavioral ratings to compare actual interventions with the models. Active listening and collaborative problem-solving models describe help provided. Centers vary greatly in the nature of interventions and their quality according to predetermined criteria. Helpers do not systematically assess suicide risk. Some lives may have been saved but occasionally unacceptable responses occur. Recommendations include the need for quality assurance, development of standardized practices and research relating intervention processes to outcomes.     

An Empowerment Evaluation Model for Sexual Assault Programs: Empirical Evidence of Effectiveness

Using an empowerment evaluation approach, the Sexual Assault and Rape Prevention (SARP) Evaluation Project brought together university researchers, public health evaluators, state funders, and program staff to provide evaluation training and consultation to all state-funded rape prevention and victim services programs in Michigan. In this paper, the specific activities of the SARP project are described, and process and outcome data are presented that address the effectiveness of this empowerment evaluation approach. Based on subjective reports from program staff and objective data obtained from state funders, results suggest that this evaluation model was successful in helping 90% of the prevention programs and 75% of the victim services programs successfully develop and launch program evaluations. One-year follow-up data indicate that 90% of the programs had sustained their evaluation efforts after the formal work of the SARP project had ended.