Parent‐selected interventions for infants at‐risk for autism spectrum disorders and their affected siblings

Infants with older siblings having Autism Spectrum Disorders (ASD) are at genetically increased risk for showing characteristics of ASD in the first 2 years of life. Parents, who already have at least one child with ASD, may closely monitor their later born children and implement interventions as soon as the children begin to show what the parents believe is aberrant behavior or development that may be early stages of ASD. To date, no study has examined the number and types of services and interventions these parents access for their at‐risk infants. Using a Service and Intervention Questionnaire developed for this study, we interviewed 23 parents involved in a larger prospective study of genetically at‐risk infants who reported developmental and/or behavior problems in their at‐risk infants. Parents reported utilizing a mean of 1.83 and 7.26 services and/or interventions for their at‐risk infants and older children with ASD, respectively. Two‐thirds of the interventions received by the infants were also given to their older affected siblings. The interventions included empirically validated approaches (e.g., early intensive behavioral intervention), professional services (speech–language therapy, occupational therapy), and non‐validated treatments (e.g., diet and vitamin therapies). Overall, 81 non‐validated and 18 validated interventions were used. On a Likert‐type rating scale, parents reported being involved and satisfied with what they generally thought were effective services. They felt more involved and satisfied with ABA, and felt it was more effective than non‐validated interventions. The findings suggest that parents with infants at‐risk for ASD and an older affected child will access a variety of autism services for both children, but the parents will implement primarily non‐validated interventions. Parent education is recommended to help parents make informed treatment decisions for their children. Copyright © 2009 John Wiley & Sons, Ltd.     

Regression I. Experimental approaches to regression

The concept of regression is considered with an emphasis on the differences between the positions of Freud and Jung regarding its significance. The paper discusses the results of experimental analyses of individual experience dynamics (from gene expression changes and impulse neuronal activity in animals to prosocial behaviour in healthy humans at different ages, and humans in chronic pain) in those situations where regression occurs: stress, disease, learning, highly emotional states and alcohol intoxication. Common mechanisms of regression in all these situations are proposed. The mechanisms of regression can be described as reversible dedifferentiation, which is understood as a relative increase of the representation of low-differentiated (older) systems in the actualized experience. In all of the cases of dedifferentiation mentioned above, the complexity of the systemic organization of behaviour significantly decreases.     

The Interplay of Empathy and Individualism in Support for Social Welfare Policies

Public support for government welfare programs is grounded in two potentially conflicting factors: a belief in individualism which undermines support for welfare assistance and the capacity for empathy which potentially enhances support. However, empathy is an expensive psychological commodity subject to pervasive up- and down-regulation. This article examines the degree to which a belief in individualism affects the expression of compassionate support for a person in need among those with the capacity for empathy. In two online survey experiments, empathic ability powerfully increases support for a welfare recipient and social welfare policies when it does not conflict with individualism. But, empathic ability decreases compassion and support for government welfare among strong individualists. Evidence that individualists down-regulate empathy for someone in need of government assistance is consistent with the conservative view that welfare promotes dependency and undermines individual agency. In contrast, charitable assistance is not associated with long-term dependency, and we find that empathy is up-regulated by strong individualists to generate charitable support for the same individual to whom they denied government assistance. The up- and down-regulation of empathy in response to someone in need of government welfare helps illuminate the sharp divisions over social welfare policy among the American public.     

Omission and commission in judgment and decision making: Understanding and linking action‐inaction effects using the concept of normality

Research on action and inaction in judgment and decision making now spans over 35 years, with ever‐growing interest. Accumulating evidence suggests that action and inaction are perceived and evaluated differently, affecting a wide array of psychological factors from emotions to morality. These asymmetries have been shown to have real impact on choice behavior in both personal and interpersonal contexts, with implications for individuals and society. We review impactful action‐inaction related phenomena, with a summary and comparison of key findings and insights, reinterpreting these effects and mapping links between effects using norm theory's (Kahneman & Miller, 1986) concept of normality. Together, these aim to contribute towards an integrated understanding of the human psyche regarding action and inaction.     

Assessment of mothers' working models of relationships: Some clinical implications

The parent-child relationship exerts a powerful influence upon child behavior. Thus, it has been suggested that psychiatric diagnoses of infants and young children should include a characterization of parent-child relationships and interactions. In this article, we discuss one way of characterizing relationships, which is based upon interviews of parents' childhood histories and their conceptualizations or working models of early experiences (Adult Attachment Interview, George, Kaplan, & Main, 1985). The associations between mothers' working models, their parenting behavior, and the behavior of their children are discussed. Patterns of parent-child relationships described in mothers' subjective histories are discussed with respect to the patterns of interactional behavior of the mothers and their children observed in a laboratory play session. Case examples are given to illustrate the patterns, and implications for clinical use of this system are discussed. The interview appears to be a reliable tool for characterizing parental histories, assessing the associations between subjective conceptualizations and parenting behavior, exploring parental contributions to child behavior, and outlining patterns of relationships.     

Hedonic Tone,Perceived Arousal,and Item Desirability: Three Components of Self-reported Mood

Self-reports of mood are the most frequently used measure of subjective emotional experience in studies of human emotion. The present study evaluated the degree to which self-reports of mood reflect the social desirability of an affective state, rather than the hedonic tone and the level of arousal associated with such states. The study produced three main findings. First, the desirability of a mood and the hedonic quality of a mood are related, but not identical entities. Secondly, the desirability of a mood is also related to the level of arousal the mood denotes. Thirdly, desirability components are related to the self-report ratings of mood, but the ratings also reflect the hedonic tone and level of arousal describing the internal state of the respondents. Social desirability does affect the self-report ratings that are often used in emotion research, but such ratings also reflect something about the internal state of the respondents.     

Examining memory for heterosexual college students' sexual experiences using an electronic mail diary.

To examine memory for sexual expenences, the authors asked 37 sexually active, nonmonogamous, heterosexual college students to complete an e-mail diary every day for 1 month. The diary contained questions about their sexual behaviors. Six to 12 months later, they returned for a surprise memory test, which contained questions about their sexual experiences from the diary phase. They were asked about their sexual partners, the types of sexual experiences they had, and condom use. Participants underreported the number of partners they had, but they overreported both sexual experiences and condom use. The results have implications for both sexual health educators and for people who engage in high-risk sexual behaviors.