Infant clinical assessment procedure: Its applications for diagnosis and treatment in the second and third year

This article reports on some clinical applications in the 9 to 30 month age range of a new structured paradigm. The Infant Clinical Assessment Procedure (ICAP) is not a test, but an assessment technique. It is particularly aimed at the evaluation and ongoing monitoring of problems in the emotional development of infants. Its eight episodes represent a wide array of effective, social, and cognitive stimuli. The primary focus of these episodes is on the infant, with the exception of the mother-infant task that specifically gauges the mother-infant ralationship. It is suggested through case vignettes that the ICAP may be useful for the documentation of the efficacy of treatment.     

Validity of the multiple-stimulus without replacement preference assessment for edible items

Studies have shown that the multiple-stimulus without replacement (MSWO) preference assessment is an effective assessment format for identifying preferred items. However, it is possible that factors other than reinforcer quality might influence selections by some individuals when the MSWO array consists of edible items. The validity of the MSWO results was evaluated by comparing items identified as most and least preferred by the MSWO assessment in a concurrent-schedule (CS) format. Varying edible items were used in each study. The MSWO format accurately identified the higher quality edible item for most participants across studies (76%); however, the MSWO format did not predict the highest quality edible item in the CS assessment for 20% to 30% of participants in each study.     

The Past Guides the Future: Implementing the Multicultural and Social Justice Counseling Competencies

The authors describe the ways in which the Multicultural and Social Justice Counseling Competencies (MSJCC; Ratts, Singh, Nassar-McMillan, Butler, & McCullough, 2015) can be viewed from a human rights framework and as the latest iteration in the long history of the multicultural and social justice counseling competency movement. MSJCC implementation and integration are explored, and recommendations for innovating the MSJCC are described.     

Non-organic failure-to-thrive: Deprivation or distortion?

Infants diagnosed non-organic failure-to-thrive (NOFT) show arrested physical development. The cause of the growth delay and of the accompanying behavioral anomalies is not known, but generally is attributed to maternal deprivation. This study investigated the hypothesis that family hostility was also a contributing factor. NOFT families were compared with maltreating and adequate families and found to be larger and more intact, but characterized by extremely distressed interpersonal relationships and family violence. This result was interpreted as suggesting that NOFT resulted from the stress of both insufficient and inappropriate treatment of the infant. The source of the stress was observed to include the entire family, the members of which were displaying other psychosomatic manifestations of stress.     

The goal as process: music and the search for the Self

This paper explores and compares the processes of music and analysis from the author's experience as a musician, piano teacher and analyst. It explains how the use of music improvisation in analysis (with simple percussion instruments) can powerfully enhance the dialogue between the unconscious and conscious psyche, as well as deepen the relationship between analyst and analysand. This is connected theoretically to Jung's active imagination and Winnicott's concept of play within the analytic encounter. Finally, the question is raised whether analytic trainings could do more to expose trainees to the possibility of using music within the analytic encounter. This touches on the more basic and controversial issue (which often separates analytical psychology and psychoanalysis) of whether expressive therapy should be used in analysis at all.     

Constraints have different concurrent effects and aftereffects on variability

Three experiments showed that constraints imposed early in learning have different effects on variability when they are in effect and after they are removed. Task constraints, which determine how something can be done, limited the number of possible responses in a computer game. Variability constraints, which specify how differently something must be done, required that each response differ from some number of prior responses. Less restrictive constraints (Experiments 1 and 2) produced higher variability during the constraints. More restrictive constraints (Experiments 2 and 3) led to higher variability after the constraints were relaxed. The authors discuss how these differences reflect strategies acquired during the constraints (default rules) and modified in closely related ways (exception rules) afterward.     

Measures of self-efficacy and optimism in older adults with generalized anxiety

This study provides initial psychometric data for the Self-Efficacy Scale (SES) and the Life Orientation Test (LOT) in a sample of older adults with generalized anxiety disorder (GAD). Participants included 76 adults, ages 60 to 80, who met Diagnostic and Statistical Manual of Mental Disorders (4th ed.) criteria for GAD. Self-efficacy and outcome expectancies were lower in older adults with GAD relative to published data from younger and older community samples. Both the SES and LOT demonstrated adequate internal consistency. Confirmatory factor analysis provided evidence for optimism and pessimism factors within the LOT and exploratory factor analysis of the SES suggested threefactors that overlap with previous findings. Overall, the data support the potential utility of these instruments in late-life GAD and set the stage forfuture investigations of generalized self-efficacy expectancies and outcome expectancies (or optimism) as they relate to the prediction of affect and behavior in this group.