Clinical Implications for Multi-Racial Individuals

Abstract

Multi- racial individuals experience distinctive struggles and challenges that can impact their mental health. However, despite the growing population and unique presenting issues there remains a scarcity of literature to effectively support them. In addition, there is a lack of research exploring the unique experience of the multiple heritage population. The article offers implications for effectively working with individuals of multi-racial decent as well as a call to action for MFTs to develop multicultural competencies for the profession.     

Do boys with attention-deficit/hyperactivity disorder have positive illusory self-concepts?

One hundred ninety-five boys with attention-deficit/hyperactivity disorder (ADHD) were compared with 73 comparison boys (M = 9.83 years, SD = 1.30) on self-perceptions relative to a teacher-rated criterion. Emphasis was placed on ADHD subgroup comparisons according to level of aggression, academic achievement, and depression compared with control boys. Consistent with the authors' prediction, ADHD boys overestimated relative to teacher report, more than did controls, in the scholastic competence, social acceptance, and behavioral conduct domains. Examination of discrepancy scores (child rating - teacher rating) by comorbidity subgroups suggested that aggressive and low-achieving ADHD boys tended to overestimate their competence the most in the domains in which they were the most impaired. Results are discussed in terms of prior literature on "positive illusions" in ADHD children.     

Family Processes and Treatment Outcome in the MTA: Negative/Ineffective Parenting Practices in Relation to Multimodal Treatment

To elucidate processes underlying therapeutic change in a large-scale randomized clinical trial, we examined whether alterations in self-reported parenting practices were associated with the effects of behavioral, medication, or combination treatments on teacher-reported outcomes (disruptive behavior, social skills, internalizing symptoms) in children with attention-deficit hyperactivity disorder (ADHD). Participants were 579 children with Combined-type ADHD, aged 7–9.9 years, in the Multimodal Treatment Study of Children with ADHD (MTA). We uncovered 2 second-order factors of parenting practices, entitled Positive Involvement and Negative/Ineffective Discipline. Although Positive Involvement was not associated with amelioration of the school-based outcome measures, reductions in Negative/Ineffective Discipline mediated improvement in children's social skills at school. For families showing the greatest reductions in Negative/Ineffective Discipline, effects of combined medication plus behavioral treatment were pronounced in relation to regular community care. Furthermore, only in combination treatment (and not in behavioral treatment alone) was decreased Negative/Ineffective Discipline associated with reduction in children's disruptive behavior at school. Here, children in families receiving combination treatment who showed the greatest reductions in Negative/Ineffective Discipline had teacher-reported disruptive behavior that was essentially normalized. Overall, the success of combination treatment for important school-related outcomes appears related to reductions in negative and ineffective parenting practices at home; we discuss problems in interpreting the temporal sequencing of such process-outcome linkages and the means by which multimodal treatment may be mediated by psychosocial processes related to parenting.     

Synthesizing single-case studies: A Monte Carlo examination of a three-level meta-analytic model

Numerous ways to meta-analyze single-case data have been proposed in the literature; however, consensus has not been reached on the most appropriate method. One method that has been proposed involves multilevel modeling. For this study, we used Monte Carlo methods to examine the appropriateness of Van den Noortgate and Onghena's (2008) raw-data multilevel modeling approach for the meta-analysis of single-case data. Specifically, we examined the fixed effects (e.g., the overall average treatment effect) and the variance components (e.g., the between-person within-study variance in the treatment effect) in a three-level multilevel model (repeated observations nested within individuals, nested within studies). More specifically, bias of the point estimates, confidence interval coverage rates, and interval widths were examined as a function of the number of primary studies per meta-analysis, the modal number of participants per primary study, the modal series length per primary study, the level of autocorrelation, and the variances of the error terms. The degree to which the findings of this study are supportive of using Van den Noortgate and Onghena's (2008) raw-data multilevel modeling approach to meta-analyzing single-case data depends on the particular parameter of interest. Estimates of the average treatment effect tended to be unbiased and produced confidence intervals that tended to overcover, but did come close to the nominal level as Level-3 sample size increased. Conversely, estimates of the variance in the treatment effect tended to be biased, and the confidence intervals for those estimates were inaccurate.     

Is the Positive Illusory Bias Illusory? Examining Discrepant Self-Perceptions of Competence in Girls with ADHD

It has been claimed that excessively positive self-perceptions of competence are a key risk factor for concurrent and subsequent impairments in youth with attention-deficit/ hyperactivity disorder (ADHD). We examined whether girls with ADHD demonstrate positive illusory self-perceptions in scholastic competence, social acceptance, and behavioral conduct domains. We then tested, across a five-year longitudinal span, whether (a) such self-perceptions versus (b) the constituent informant ratings or test scores were more strongly predictive of adolescent impairment and positive adjustment. Participants included an ethnically diverse sample of 140 girls with ADHD and 88 comparison girls, aged 6-12 at baseline (M?=?9.0, SD?=?1.7). Girls with ADHD rated themselves as more positive than indicated by external ratings, but these self-reports were still in a negative direction (comparison girls rated themselves as less positive than these indicators). ADHD subtypes were not related to discrepancy scores. Higher rates of depression symptoms were associated with attenuated discrepancy scores. Crucially, measures of actual competence were more strongly associated with adolescent impairment and positive adjustment than were "illusory" self-perceptions for girls with ADHD. Our findings challenge the view that, at least in girls with ADHD, overly positive and "illusory" appraisals of competence are strongly associated with future impairment and adjustment. The key psychometric point is that, in difference or discrepancy scores, the individual components of such scores should be separately examined.     

Producing Parsons' reputation: Early critiques of Talcott Parsons' social theory and the making of a caricature

This article examines the critical responses to Talcott Parsons' first major work, The Structure of Social Action (1937), and his two subsequent books, Toward a General Theory of Action and The Social System (both 1951). Because Parsons' work was the subject of such virulent debate, we cannot fully understand Parsons' impact on the discipline of sociology without understanding the source and nature of those early criticisms. I trace the responses to Parsons, first through book reviews and private letters and then in the more substantial statements of C. Wright Mills, George Homans, and Alvin Gouldner, from the largely positive but superficial reception of Structure to the polemics that followed Parsons' 1951 works. In the late 1930s and 1940s, Parsons' reputation grew steadily but there remained no careful reception of Structure, fostering resentment toward Parsons in some quarters while precluding a sophisticated understanding of his work. After 1951, a few critics capitalized on that tension, writing sweeping rejections of Parsons' work that spoke to a much broader audience of sociologists. That dynamic, coupled with Parsons' own indifference toward his harshest critics, produced a situation in which many sociologists simply chose not to read Parsons in the 1950s and 1960s, reinforcing a caricature and distorting perceptions of Parsons' place in mid‐twentieth‐century American sociology. © 2010 Wiley Periodicals, Inc.     

Building bridges for disengagement: The transition process for individuals and teams

Abstract

A general dircwion for understanding the process and impact of disengagement and uansition on individual athletes and teams is presented. Disengagement is presented as a process within athlete and team development. The disengagement of athletes from a team and the impact on the team ue examined. Two models of change are described as is a model of group development. Examples of a team in transition are provided and suggestions for sports psychologists' work with athletes and teams in transition an offered. The focus of these suggestions is on work with teams.     

Domain-specificity in perfectionism: Variations across domains of life

Perfectionism has been assessed in relation to salient or narrow domains within specific populations, yet little is understood across broader domains of life. The aim was to assess positive perfectionism (PP) and negative perfectionism (NP) in five broad domains; university/work, relationships, physical activity, domestic environment and appearance and to determine any gender differences within domains. One hundred and forty four university students (females n = 101; males n = 43) completed a modified perfectionism measure for each domain. Correlations within and between domains for PP and NP ranged from low to moderate with differential patterns by gender, supporting more domain specificity and less of a universal trait. Repeated measures ANOVAs revealed that, overall, PP and NP in the university/work domain was significantly higher than all other domains. Females reported greater PP in the university domain compared to other domains, and more PP in the relationship, domestic environment and appearance domains as compared to the physical activity domain. In contrast, males reported significantly higher PP in the physical activity domain. Females reported significantly higher NP in the university and appearance domains, while males had similar NP across all domains. These findings present a more complex picture of perfectionism with implications for domain-specificity in perfectionistic behavior.