Drug Ingestions in Children 10–14 Years Old: An Old Problem Revisited

To determine changes in rates of drug ingestions in 10–14 year old children in our country, a retrospective chart review of 10–14 year olds hospitalized for drug ingestion between 1993–1995 and 2000–2004 was performed. Odds ratios and Chi‐square were used for analyses. From 1993–1995 there were 92.8 ingestions/100,000 children/year; from 2000–2004 there were 63.3 ingestions/100,000 children/year. More males ingested in 2000–2004 than 1993–1995 (26.3% vs. 14.2% O.R. 2.15 [1.19, 3.92]). More patients took psychiatric medications in 2000–2004 than 1993–1995 (38.9% vs. 27.0%, O.R. 1.72 [1.06, 2.80]). More patients ingested SSRIs in 2000–2004 than 1993–1995; fewer ingested tricyclics. Hospitalization rates for drug ingestions have decreased. There has been a change in drug ingested, and more males are ingesting drugs.     

Self-guided behavioral skills training: A public health approach to promoting nurturing care environments

The World Health Organization identified the promotion of “Nurturing Care Environments” as a global health priority. Responsive caregiving, 1 of 5 domains describing nurturing care, is critical for healthy child development. Relatively little research has evaluated population-level interventions aimed to increase responsive caregiving during the first 1,000 days of an infant's life. In this pilot study, we evaluated an intervention designed for population-level dissemination that targeted responsive caregiving. The self-guided behavioral skills training aimed to teach mothers to imitate infant vocalizations. The intervention was delivered within an on-line asynchronous training. All 3 mothers increased vocal imitative behavior following training without receiving coaching or behavior-specific feedback from an implementer. The results offer a preliminary proof of concept with implications for population-level intervention design and evaluation.     

Paradoxes of qualitative research

In qualitative research paradoxes abound in research design, sampling, generalisation, ethics and the behaviour of the researcher. The ultimate paradox is that qualitative inquiry is impossible — both conceptually and practically — yet it still goes on. It must do so if the professions of counselling and psychotherapy are to advance.     

Effects of Response Blocking and Programmed Stimulus Control on Motor Stereotypy: A Pilot Study

We evaluated response blocking with programmed stimulus control, wearing tennis wrist bands, to reduce motor stereotypy in a student with autism. Response blocking was effective and subsequent analysis revealed that wearing the tennis wrist bands alone maintained low frequency stereotypy. Results suggest that controlling effects from a procedure such as response blocking can be transferred to a programmed stimulus in the absence of physical intervention.     

A Brief Group Intervention Using Video Games to Teach Sportsmanship Skills to Children With Autism Spectrum Disorders

Impaired social skills represent a fundamental deficit for children with Autism Spectrum Disorders (ASD). Despite the potential importance of “good sportsmanship,” this social skill has received relatively little attention in the literature. The current study utilized a Behavioral Skills Training (BST) approach to teach three sportsmanship skills (i.e., complimenting, turn taking, and being a good sport) during video game play (Wii Sports). Six children with ASD completed this study. Findings suggest BST can be used effectively to teach sportsmanship skills to children with ASD. The use of video-game technology as part of social skills intervention programs is also discussed.     

Family therapy in israel: A review of therapy done under unusual circumstances

Major issues affecting family therapy practice in Israel are discussed. Issues making family therapy in Israel unique include historical topics such as the legacy of the Holocaust, the emergence of the family therapy movement from the cradle of the kibbutz; and more recent events such as constant wars, the specter of terrorist threat, and coping with the everyday pressures of life in Israel—stress, loss, and bereavement. Future trends in family therapy in the Israeli context include the peace process and the adjustment it requires from families living in the West Bank and the Golan Heights. The advent of peace and normalization will force family therapists to grapple with issues until now not given the attention they require by a country always on the brink of war, including family violence, feminist issues and patriarchal family orientations, single-parent families, and cultural diversity.The authors would like to acknowledge the help of Israel Charny, Yael Geron, Tzipi Glick, Ruth Malkinson, Judith Wertheimer, and Susan Zeidel.     

Gender identity and family relationships: Perspectives from incestuous fathers

The purpose of this study was to understand how incestuous fathers constructed their gender identities and family relationships and to determine how these perceptions were linked to incest. Analysis of intensive interviews with 20 incest offenders suggested that incest occurred in context of entitlement stemming from masculine gender constructions and family experiences which lead to conflicts regarding control and intimacy and a build up of failure. Case illustrations and implications for clinical practice are addressed.     

Narratives of escape: A hermeneutic study of resiliency

This study examines the structure of narratives told by well-functioning adults who were at-risk as children. Participants told stories of their childhood based on pictures they selected from the TAT test (Thematic Apperception Test). Analysis of their narratives resulted in a set of hermeneutic rules which may be useful in interpreting the structure of narratives and in understanding the relationship between internalized images, reality construction, and resiliency. Two types of images were identified: negative images of stress and darkness and more positive images of escape and hope. Implications for helping clients develop images of strength and competence are discussed.The authors wish to thank an anonymous reviewer for his or her very helpful suggestions.     

Clarifying subsystem boundaries in grandfamilies

This article explores the benefits of clarifying subsystem boundaries in grandfamilies, families in which grandparents are primary caregivers to their grandchildren. The author reviews what is known about grandfamilies, presents the theory and research behind the importance of clear subsystem boundaries, and argues that grandfamilies are particularly vulnerable to problematic subsystem boundaries. Case examples are used to demonstrate how clarifying subsystem boundaries with grandfamilies in family therapy can open up resources for improved family functioning.